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r SANJOAQUI Environmental Health Department <br />C U T Time In: Time Out: <br />Greatness grows here, <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: EI Dorado Food Mart <br />Date: 11/23/2021 <br />Address: 1901 S EL DORADO ST, STOCKTON 95206 <br />Requestor: TONY MEHROKE, TANK -TIGHT SYSTEMS, INC. <br />Telephone: (916) 667-6891 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0084356 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Brian Roth <br />ICC Service Tech/Installer Exp. Date: 11/15/2023 <br />Manufacturer training: OPW, 09/28/22 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to witness the 87 spill container test and verify the following: <br />-spill container has a minimum capacity of 5 gallons <br />-one hour hydrostatic test <br />-proper drainage <br />This facility is approved to receive fuel in the 87 underground storage tank. Submit spill container test results to the <br />Environmental Health Department within 30 days. <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. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <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: VICKY VANG-LEE <br />Name and Title: Emailed to Tony Mehroke, Contracto <br />Phone: (209) 616-3028 <br />FA0001946 SR0084356 SC298 11/23/2021 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />