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Time In <br /> Time Out <br /> San Joaquin County <br /> Environmental Health Department <br /> _ 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> f Vii; Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.Ejgov.om/eh <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CRUISERS MANTECA#29 Date: 08/22x2017 <br /> Address: 1137 W LATHROP RD, MANTECA 95336 <br /> Requestor: NICHOLAS ROWE, L C SERVICES LARRY&CLIFF ENTERPRISES INC Telephone: (559)444-1730 <br /> Program Element: 2308- UST RETROFIT Request#: SR0075680 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician Mark Steinhauer ICC Service TecNInstaller Exp. Date: 03/03/2019 <br /> Manufacturer training: Vee�¢d�er Root, <br /> y*,;•�,�tt"V7'H'_ r� .a �' Z. �X°' a 06129/118 <br /> r9/ <br /> yYr 004T 9.1AAN ��,yy�+♦ <br /> NOTE <br /> On site to verify replaced epoxy, brine communication and functionality of the sump and brine sensors in the diesel fill sump <br /> All sensors were functional and communication of brine was verified. <br /> Facility is authorized to operate. <br /> �. ED <br /> �W <br /> rr <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: Mark Steinhauer, Service Technician <br /> EH Specialist: CESAR RUVALCABA Phone: (209)953-6213 <br /> FA0019793 SR0075680 SC228 08122/2017 <br /> EHD 23-01 Rev.00/30/15 Page 1 of 1 Underground Storage Tank Program Sec.=Request Inspection Report <br />