Laserfiche WebLink
Time In: <br /> Time Out: <br /> opQ.�tN. San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �<<FORtN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: WATERLOO FOODMART Date: 07/12/2019 <br /> Address: 4315 E WATERLOO RD , STOCKTON 95215-2305 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0080525 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Zane Nlmmo ICC Service Tech/Installer Exp. Date: 06/01/2021 <br /> Manufacturer training: TT, 11/16/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Witnessed line tightness testing of the 87 product line. Passed. <br /> -Verified leak monitoring (vacuum)communication for the 87 piping.All Passed <br /> *The facility is approved to operate. <br /> NOTE: This service request is not complete. Please be aware that secondary containment testing for the 87 product piping is <br /> due in 6 months. <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: Zane Nimmo, Service Tech <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0003831 SR0080525 SC298 07/12/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />