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S A N J Q Q Q U IN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Express Fuel &Mart Date: 11/30/2023 <br /> Address: 701 E DR MARTIN LUTHER KING JR BLVD , STOCKTON 95206 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0087028 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Benjamin Malaspina ICC Service Tech/Installer Exp. Date: 06/17/2024 <br /> Manufacturer training: VR, 10/17/24; Bravo, 06/17/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Witnessed the installation of deflector plates on all under-dispenser containment sumps(UDCs). <br /> -Verified dispenser footprints were contained by the UDCs-Passed <br /> -Sensor functionality testing was completed before EHD's arrival. Reviewed alarm printouts from before and after the cold start <br /> —All passed <br /> Note: Please document today's sensor functionality testing using the Monitoring System Certification Form and mark the type <br /> of action as"Repair." <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 service@eliteiv.com, Con <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)616-3063 <br /> FA0002512 SR0087028 SC298 11/30/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />