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r SANJOAQUI Environmental Health Department <br /> C U N T Time In:Time Out: <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: EI Dorado Gas&Mart Date: 07/13/2021 <br /> Address: 1605 S EL DORADO ST, STOCKTON 95206 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: <br /> Program Element: 2308-UST RETROFIT Request#: SR0082592 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michal Kennard ICC Service Tech/Installer Exp. Date: 07/06/2023 <br /> Manufacturer training: Bravo, 04/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified dispenser footprints contained by the UDCs. <br /> -Verified installation of Bravo conversion frames. <br /> -Visually inspected piping under dispensers. No leaks observed. <br /> -According to the technician, concrete was not broken during the installation of dispensers with conversion frames. <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: Emailed to Michal Kennard, Service T <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)616-3063 <br /> FA0006185 SR0082592 SC298 07/13/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />