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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> rT�z wti COUNTY Time In: <br /> Time Out: <br /> Greotr+ess �rGws here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: FOOD MART GASOLINE* Date: 04/07/2022 <br /> Address: 2185 E FREMONT ST , STOCKTON 95205 <br /> Requestor: AFFORDA TEST,AFFORDA TEST Telephone: (209)744-0112 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084712 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Dave Winkler ICC Service Tech/Installer Exp. Date: 01/30/2024 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify diesel ball float removed. Technician opened sump and removed cap. No ball floats observed. No other ports <br /> that ball float could be located in. <br /> This facility is approved to receive fuel in the diesel tank. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having the <br /> sign. <br /> Please ensure CERS is updated with current overfill prevention methods. <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 Ashish Boveja, Environme <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0003284 SR0084712 SC298 04/07/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />