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SANJUAQUIN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SHOP N GO 3 Date: 09/19/2022 <br /> Address: 4511 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: JOHN BAYLIS, IEC SERVICES Telephone: (916)993-6312 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085317 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Rod Littleton ICC Service Tech/Installer Exp. Date: 02/23/2023 <br /> Manufacturer training: VR, 01/27/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify the sensor functionality. <br /> -Received copy of alarm history prior to start of testing. <br /> -Witnessed the beginning of the sensor functionality test to ensure that the monitoring has been restored to meet the Title 23 <br /> California Code of Regulation and the Health &Safety Code. <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 John Baylis, Contractor <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0002480 SR0085317 SC298 09/19/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />