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r S � OAQUIN Environmental Health Department <br /> -COUNTY <br /> Grrarness grows here, <br /> Service Request Inspection Report <br /> Name of Facility: LODI MUNI SERVICE CENTER Date: 08/28/2024 <br /> Address: 1331 S HAM LN , LODI 95240 <br /> Requestor: Telephone: ()- <br /> Program Element: 2308- UST RETROFIT Request#: SR2400308 <br /> Inspection Type: 333-INSPECTION/REINSPECTION (Chargeable) <br /> Onsite Service Technician: Michael Kennard ICC Service Tech/Installer Exp. Date: 8/15/2025 <br /> Manufacturer training: Bravo, 06/17/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Verified dispenser footprints are contained by the under-dispenser containment sumps (UDCs) <br /> -Visually observed piping within the dispensers <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: Joseph Bagley, Owner <br /> EH Specialist: MARIA LOPEZ Phone: (209)616-3064 <br /> FA0003961 SR2400308 SC333 08/28/2024 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />