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Time In <br />Time Out: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone. (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orQ-/ehd <br />c•�aR�` <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: QUICK SHOP <br />Date: 09/06/2017 <br />Address: 2072 W YOSEMITE AVE, MANTECA 95337 <br />Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS <br />Telephone: (209) 461-6337 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0077716 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician Michael Kennard <br />ICC Service Tech!Installer Exp. Date: 10/28/2018 <br />Manufacturer training: OPW, 02/25/18 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to verify 5 gallon capacity, one hour hydrostatic test and proper drainage for the 100 octane fill spill container. <br />Removed red tag # 1275 before testing started and replaced red tag # 1275 after testing was complete. The 100 octane <br />system remains red tagged and is not authorized to operate. <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: �. 0��� Name and Title: 1C_,k_ �cnr�` �•r+.xc� �Cc��. <br />EH Specialist: CESAR RUVALCABA Phone: (209) 953-6213 <br />FA0004625 SR0077716 SC298 09/06/2017 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />