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S A N J Q Q Q U IN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: QUIK STOP MARKET#120 Date: 11/03/2021 <br /> Address: 9321 N THORNTON RD , STOCKTON 95209 <br /> Requestor: DEBORAH JONES, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083604 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Joe Bartholdi ICC Service Tech/Installer Exp. Date: 04/13/2023 <br /> Manufacturer training: VR, 04/19/23; Bravo, 04/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verified: <br /> -Verification of the dispenser footprints contained by the under dispenser containment sumps. <br /> -Visual inspection of the piping within the dispensers. <br /> -Witness sensor functionality. <br /> -Received a copy of alarm history prior to cold start. <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: Name and Title: Emailed to Deborah Jones, Contracto <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0002890 SR0083604 SC298 11/03/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />