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• E <br /> Time In <br /> Time Out: <br /> San Joaquin County <br /> y` Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> • Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: DINO MART Date: 01/23/2018 <br /> Address: 1001 E YOSEMITE AVE, MANTECA 95336 <br /> Requestor: Telephone: (209)401-2379 <br /> Program Element: 2308-UST RETROFIT Request#: SR0072496 <br /> Inspection Type. 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Benjamin Duncan ICC Service Tech/Installer Exp. Date: 04/03/2019 <br /> Manufacturer training: Tank tester,12/31/19; Caldwell, 07/05/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Arrived on site to witness the 6-month retest of a replaced diesel underground fiberglass elbow fitting. The six month testing <br /> was due by 6/29/2016. Testing was completed on 1/23/2018. The technician on site declared that everything had a passing <br /> result. <br /> Note: Make sure that secondary testing is completed on time for future repair work. <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: I/fa eMA'. Name and Title: <br /> EH Specialist: JOHN ALANIZ Phone: .(209)468-3147 <br /> FA0000421 SR0072496 SC298 01/23/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br /> i� <br /> I <br />