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Time Irt <br /> Time Out: <br /> San Joaquin County 1-16 4 4 ZU11 <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 ENVIRONMENTAL HEALTH <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siclov.org/ehd DEPARTMENT <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CRUISERS MANTECA#29 Date: 08/22/2017 <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 Techtlnstailer Exp. Date: 03/03/2019 <br /> Manufacturer training: Veeder Root,06/29/18 <br /> OVERA (NSPE 1Tfd iN? ..S` DCOMMEN <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 /> 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 SC298 08/22/2017 <br /> EHD 23.01 Rev.08130115 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Repot <br />