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Time In: <br /> Time Out: <br /> oe49011Y. San Joaquin County <br /> `�, Environmental Health Department <br /> 1868 East Hazelton Avenue , Stockton , CA95205 -6232 <br /> :. <br /> 4Q • 0 „ .aiP Telephone: (209 ) 468 -3420 Fax: ( 209 ) 464-0138 Web: www . smgov . org/ehd <br /> < < POR <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility : ARCO AM PM Date : 09/25/2017 <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: Ricardo Gonzalez ICC Service Tech/ Installer Exp . Date : 05/08/2019 <br /> Manufacturer training : Tank Tester ,05/31 /20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Onsite to witness and observe partial Leak Detection testing . Did not witness the full testing . Please submit test results to the <br /> EHD as required when completed . <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 rei7nsspecct�ttiionn is required , fees will be assessed at the current hourly rate. <br /> 7�-=�- Z <br /> Received by : Name and Title: Ricardo Gonzalez , Fuel Project Mangy <br /> EH Specialist: AARON HANG Phone : ( 209 ) 468 - 3453 <br /> FA0000293 SR0074800 SC131 09/25/2017 <br /> EHD 23-01 Rev, 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />