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` Time In: <br /> Time Out: <br /> R+�r.. San Joaquin County <br /> 1•�@'FA <br /> Environmental Health Department <br /> W. X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> •�'d�i is bYi��� 1 <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: STOP N SHOP Date: 12/28/2017 <br /> Address: 1856 W COUNTRY CLUB DR, STOCKTON 95204 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078468 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Christopher Adams ICC Service Tech/Installer Exp. Date: 02/09/2019 <br /> Manufacturer training: VMI, 04/21/17 <br /> OVERALL_INSPECTIW'NOTES AND COMMENTS <br /> NOTES <br /> Onsite to witness and observe leak detector test for the 87 product VMI leak detector.The leak detector passed the 3gph leak <br /> detector test. <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: Christopher Adams, Service Technici <br /> EH Specialist: AARON HANG Phone: (209)468-3453 <br /> FA0001909 SR0078468 SC298 12/28/2017 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />