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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 />• ���s�arti�;v • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: SHELL FOOD MART <br />Date: 03/15/2018 <br />Address: 2320 N EL DORADO ST, STOCKTON 95204 <br />Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS <br />Telephone: (209) 461-6337 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0078767 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician Michal Kennard <br />ICC Service Tech/Installer Exp. Date: 10/26/2018 <br />Manufacturer training: <br />OVERALL INSPECTION NOTES <br />'AND COMMENTS n. <br />NOTES <br />On site for the following inspection: <br />Verified installation of deflector plates and location of fuel filters inside the footprint of the UDC/plates. <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: Michal Kennard, Service Tech <br />EH Specialist: STACY RIVERA <br />Phone: (209) 468-3440 <br />FA0006447 SR0078767 SC298 03/15/2018 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />