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Time In: <br /> Time Out: <br /> oP'40L n. San Joaquin County <br /> N Z� Environmental Health Department <br /> ;; _ 1868 East Hazelton Avenue , Stockton , CA95205- 6232 <br /> � . . . off = 4, Telephone: (209 ) 468-3420 Fax: (209 ) 464- 0138 Web: www. sjgov . or /q ehd <br /> 9Gj40 <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility : ARCO AM PM Date : 06/06/2017 <br /> Address : 1329 ESCALON AVE , ESCALON 95320 <br /> Requestor : PAUL RAJ , CHADHA CONSTRUCTION Telephone: ( 209 ) 595-0787 <br /> Program Element: 2303 - UST/ PIPING INSTALLATION Request #: SR0074800 <br /> Inspection Type: 131 - UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Engel Molina ( installer) ICC Service Tech/ Installer Exp . Date : 02/08/2018 <br /> Manufacturer training : <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Verified piping slope and set backs. <br /> **Additional inspections are needed . See the permit approval letter dated December 15 , 2016 for a complete list of <br /> inspections required . All appointments must be scheduled 48 hours in advance . <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code. If a reinspection is required , fees will be assessed at the current hourly rate. <br /> Received by : Name and Title: <br /> EH Specialist : STACY RIVERA Phone : ( 209 ) 468-3440 <br /> FA0000293 SR0074800 SC131 06/06/2017 <br /> EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />