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Time In: <br />Time Out: <br />�P.�•ut�!. �, San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />• c ... �P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />���FORN <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: 7 -ELEVEN INC #17334 <br />Date: 02/22/2019 <br />Address: 4501 N PERSHING AVE, STOCKTON 95207 <br />Requestor: KEVIN BROWN, LC SERVICES <br />Telephone: (559) 444-1730 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0080098 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Tim Hardin <br />ICC Service Tech/Installer Exp. Date: 04/26/2019 <br />Manufacturer training: <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the following: <br />-Verified dispenser footprint contained by the UDC. <br />-Visual inspection of piping - no leaks observed. <br />-Verified fuel filters and piping contained within UDC. <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: <br />EH Specialist: STACY RIVERA <br />Name and Title: Tim Hardin, Technician <br />Phone: (209) 468-3440 <br />FA0002479 SR0080098 SC298 02/22/2019 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />