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Time In: <br /> Time Out: <br /> ogo�tN. San Joaquin County <br /> % Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> �•.. �; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 'gCjFORN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: J & L MARKET Date: 05/26/2016 <br /> Address: 8115 S EL DORADO ST, FRENCH CAMP 95231 <br /> Requestor: CARL WAYNE HENDERSON, SERVICE STATION TESTING- SST INC Telephone: (209) 465-5577 <br /> Program Element: 2308 - UST RETROFIT Request#: SR0074938 <br /> Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Zane Nimmo ICC Service Tech/Installer Exp. Date: 06/19/2017 <br /> Manufacturer training: Veeder-Root, 09/27/17; Tank Tester,03/31/18 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed sensor functionality testing of the 91/diesel annular sensor (conducted during the routine monitoring certification). <br /> Passed. <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: 1y C--I (_cd l Name and Title: <br /> EH Specialist: STACY RIVERA Phone: (209) 468-3440 <br /> FA0000110 SR0074938 SC298 05/26/2016 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />