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• • Time In: <br /> Time Out: <br /> 91 <br /> San Joaquin County <br /> Environmental Health Department <br /> W. X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: HARRYS ONE STOP MARKET* Date: 05/02/2018 <br /> Address: 1151 W LOUISE AVE , MANTECA 95336 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0079007 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michael Kennard ICC Service Tech/Installer Exp. Date: 10/28/2018 <br /> Manufacturer training: Bravo, 10/23/18 <br /> F?VERA INSPEGTION'KQTES AND COMIiIaENTS .. <br /> NOTES <br /> On site for the following inspection: <br /> Witness correct installation of Bravo Deflector plates and ensure that any leak from product piping will be captured by the <br /> under dispenser containment unit. <br /> All four dispensers had bravo deflectors installed. <br /> Verified that the Bravo plates were installed according to manufacturers guidelines. <br /> Verified that the any leak from the product piping would be captured by the under dispenser containment unit. <br /> No further inspections are needed for this service request. <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 Technician <br /> EH Specialist: JOHN ALANIZ Phone: (209)468-3147 <br /> FA0000819 SR0079007 SC298 05/02/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />