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Time In: <br />San Joaquin County Is Time Out: <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orcLeh <br />Name of Facility: MmksFuei&'F"-ow'..JAnc, <br />Date: !0/01/2015 <br />Address: 880EW-TOR RD, LORI 95240 <br />ReqUestor: Fl,\�IiL.Y CIF -INN <br />Telephone <br />Program Element: 2308 USTRIETROFIT <br />IRequest * R70 1242 <br />Inspection Type: 298 -,UST RETRO RT REPAIR lNSPEC'T'I0N <br />Onsite Service Technician:: <br />erviceTec[YlnstallerExp. Date: 109/ 24,12 Kc:s 0,17 <br />Manufacturer training: <br />OVERALL WOECTlION NOTES AND COMMENTS <br />NOTES <br />, C/ o' H, -fiesel sp,H oontaine�, and the <br />n site to wifiness the l.-,ecandary Itest ,A flhe diesel USIF flhe hyd� afic tc�s` me <br />fun,cfionalilty iii flhe d, in in the diesel spill tn.tairier <br />All pass, This ta,'ility is aLj,-.,,roved to ftjei, <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 />ftnNAdV <br />Received by: <br />EH Specialist: ARI: VELOSO 01 66- <br />dt <br />Name and Title: <br />Phone: (2 09) 468-3453 <br />FA0003862 SR0073242 SC298 10/0112015 <br />EHD 23-01 Rev. 06!30115 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />