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r J h n I A� Environmental Health Department <br /> SAN� T Y /� Time In: <br /> C L) <br /> ;.. <br /> Time Out: <br /> Greatness grows her' <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SHORT STOP FOOD MART Date: 05/22/2020 <br /> Address: 20 W TURNER RD , LODI 95240 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0081566 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michael kennard ICC Service Tech/Installer Exp. Date: 06/19/2021 <br /> Manufacturer training: SB, 05/23/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for corrosion protection inspection: <br /> -Verified corrosion protection for 87 and 91 direct bury phil-tite spill containers prior to backfilling.-ok Protected. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <br /> Additional inspections are required. Refer to the approval letter dated December 30, 2019 for a list of inspections needed. <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: Michael Kennard, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0000645 SR0081566 SC298 05/22/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />