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aR4 <br />Underground <br />V San Joaquin County 0 <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />Time In. <br />Time Out: <br />Storage Tank Program Service Request Inspection Report <br />Name of Facility: QUICK SHOP <br />Date: 08/03/2017 <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: <br />ICC Service Techtlnstaller Exp. Date: <br />Manufacturer training: <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to remove red tags from the 100 and 110 octane tanks to allow fuel drop in preparation for testing the next day. <br />Tag #'s 1275 and 1294 were removed and tank inventory was obtained. <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 req ired, fees will be assessed at the current hourly rate. <br />Received JAName and Title: <br />EH Specialist. CESAR RUVALC A Phone: (209) 953-6213 <br />FA0004625 SR0077716 SC298 08/03/2017 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />