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• time Out:Time In <br /> San Joaquin County <br /> 1 �o r.04 <br /> s Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> ., Y. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> '{Cl cc7YM� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: F_ F KLL7T R SONS INC Date: 01/22/2016 <br /> Address: 1126 E PINE ST , LODI 95240 <br /> Requestor: Telephone <br /> Program Element: 2308 -UST RETROFIT Request#: SR00'r 3835 <br /> Inspection Type: 298 - WT RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician Joseph Bartholdi ICC Service TectYlnstaller Exp. Date: 08/05/2016 <br /> Manufacturer training: OPW,03/18/17, ICC Install/Retrofitter, 11/03/17 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify the corrosion protection application of black electrical tape to the band clamps, riser, and bottom portion of the <br /> racing fuel fill spill container. <br /> Corrosion protection has been applied to the spill container. <br /> Ok to backfill and pour concrete. <br /> Contact the SJCEHD with a 48 hour notice when ready to conduct the next inspection. <br /> The person in charge is responsible for e�fejewi <br /> th bo mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code. If a reinspection is required /e / d at y ra e. / <br /> Received by: �� rf/J Name and Title: 0/U �l <br /> EH Specialist: AAS VELOSO Phone: (209) 468-3453 <br /> FA0003771 SR0073835 SC298 01122/2016 <br /> EHD 2301 Rev.06/31'15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />