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Time In: <br /> Time Out: <br /> oPg9t . San Joaquin County <br /> a 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 /> �/FOR <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: WATERLOO FOODMART Date: 03/31/2017 <br /> Address: 4315 E WATERLOO RD, STOCKTON 95215-2305 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0076608 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician Joseph Bartholdi ICC Service Tech/Installer Exp. Date: 09/12/2018 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Observed refilling of interstitial fluid in UDC 1/2. Verified sensor positioned at earliest opportunity for leak detection. Verified <br /> communication of interstitial fluid throughout UDC 1/2. Verified"all functions normal'alarm condition on the monitoring panel. <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 Bartholdi, Service Technician <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003831 SR0076608 SC298 03/31/2017 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />