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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: 11/19/2021 <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: Jamie Lucero <br />ICC Service Tech/Installer Exp. Date: 01/12/2023 <br />Manufacturer training: OPW, 10/15/23 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to verify corrosion protection on the 87 direct -bury spill container prior to backfilling. <br />"This facility is not approved to receive fuel in the 87 tank prior or the EHD inspection and approval. <br />STILL NEEDED: <br />-Spill container test: verify minimum 5 -gallon capacity and pass a one hour hydrostatic test (or equivalent) <br />-Verification of proper drainage <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: SHEWIT WOLDEAREGAY <br />Name and Title: <br />Phone: (209) 616-3063 <br />FA0001946 SR0084356 SC298 11/19/2021 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />