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SAN JOANI Environmental Health Department <br /> COU N T Time In: <br /> Time Out: <br /> (',reotr+ess grows ho,— <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: EI Dorado Gas & Mart Date: 01/22/2021 <br /> Address: 1605 S EL DORADO ST , STOCKTON 95206 <br /> Requestor: DEBORAH JONES, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308- UST RETROFIT Request#: SR0082933 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Benjamin Malaspina ICC Service Tech/Installer Exp. Date: 02/26/2022 <br /> Manufacturer training: VR, 10/29/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> -Verified functionality of the monitoring system ( Gilbarco- EMC) <br /> -Witnessed sensors functionality(Annular, 87 STP sump and 91 STP sump sensors)when tested all Passed. <br /> - Removed Red tag on 87 and 91 fill pipes <br /> This facility is approve to receive fuel in the 87 and 91 tanks. <br /> *Verify functionality of the 87 and 91 tanks, and under containment (UDC) sumps/dispensers in operational conditions prior to <br /> operating the UST system. Provide a written notification to ust@sjgov.org, a 48-hours notice is required for inspection <br /> appointments. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <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: Benjamin Malaspina, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209) 616-3049 <br /> FA0006185 SR0082933 SC298 01/22/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />