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0 Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siciov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: GAS DEPOT#2 Date: 01/23/2018 <br /> Address: 1330 E YOSEMITE AVE , MANTECA 95336 <br /> Requestor: MEGAN MITCHELL, ELITE IC CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0077415 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Benjamin Duncan ICC Service Tech/Installer Exp. Date: 04/03/2019 <br /> Manufacturer training: Tank Tester, 12/31/19; Caldwell, 07/05/20 <br /> Q\/ERALL INSPECTION,NOTES AND COMMENTS M , <br /> NOTES <br /> Arrived on site to witness the 6-month retest of under dispenser containment 3/4, 7/8 and 9/11. Arrived at the end of testing <br /> after it was completed. The technician on site declared that the testing results were a pass. <br /> Note:The six month testing was due by 11/16/2017. Testing was was completed on 1/23/2018. Make sure that secondary <br /> testing is completed on time for future repair work. <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: Via Email and Certified Mail, <br /> EH Specialist: JOHN ALANIZ Phone: (209)468-3147 <br /> FA0012355 SR0077415 SC298 01/23/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />