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Time In. <br />Time Out. <br />a�avt� San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />c4. ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />crF611" <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: RANCHO SAN MIGUEL MARKET` <br />Date: 10/26/2015 <br />Address: 612 S Cherokee LN , LODI 95240 <br />Requestor: <br />Telephone <br />(408) 938-7103 <br />Program Element: 2308 - UST RETROFIT <br />Request #: <br />SR0072610 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician Kristopher Bell <br />ICC Service Tech/Installer Exp. Date: <br />X9/11/2016 <br />Manufacturer training: Veede 3/04/16: VMI, 11/18/16 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site post "cold start' to witness the monitoring system certification testing and overfill prevention at 90% with audible and <br />visual alarm. All pass. <br />This UST system is approved to operate. <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:�� <br />EH Specialist. <br />Phone: (209)468-3453 <br />V FA0014852 SR0072610 SC298 10/26/2015 <br />EHD 2301 Rev, 15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />