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Time In: <br />Time Out: <br />pRg��N San Joaquin County <br />H `X Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• , w • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: GSG GAS & MART <br />Date: 06/06/2018 <br />Address: 701 E DR MARTIN LUTHER KING JR BLVD, STOCKTON 95206 <br />Requestor: BONNIE GARBER, DONLEE PUMP COMPANY <br />Telephone: (209) 537-9396 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0076774 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Ed Stearns <br />ICC Service Tech/Installer Exp. Date: 11/09/2018 <br />Manufacturer training: VR, 08/09/18 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />Onsite for monitoring system certification. Verified during the annual monitoring system certification of sensor functionality of <br />the Veeder root 208 sensors in under dispenser containment 1/2 and 5/6. <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: <br />�a� Sid <br />EH Specialist: AARON HANG <br />EHD 23-01 Rev. 06/30/15 <br />Name and Title: Raj Singh, Manager <br />Phone: (209) 468-3453 <br />FA0002512 SR0076774 SC298 06/06/2018 <br />Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />