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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 /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:wWW_.Wgoy.orgLehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CRUISERS MANTECA#29 Date: 08/2212017 <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 Tech(Installer Exp. Date: 03/03/2019 <br /> Manufacturer training: Veeder Root,06/29/18 <br /> �,,,:,r� �� �. ;�s v ���: �„�; $�::�ii,�ais►t:1�;���wrE ; lo,�r�br.�s}ANb�1tiia��r.1Ts� �.���� .r� {;�,�, � �,.: <br /> NATE <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 /> 7"E”.C E IV ED <br /> ENVIRCI.th1'IENTAL <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all appticabie 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 SC298 08/22/2017 <br /> EHD 23.01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Sernte Request Inspection Report <br />