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Time In: <br />Time Out: <br />oPa�tN. 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.sjgov.org/ehd <br />�7FOR <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: KISHIDA, GEORGE INC <br />Date: 04/03/2018 <br />Address: 1725 ACKERMAN DR, LODI 95240 <br />Requestor: EMILY CRAIN, BZ SERVICE STATION MAINTENANCE <br />Telephone: <br />(916) 371-2380 <br />Program Element: 2308 - UST RETROFIT <br />Request #: <br />SR0078588 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Rhome Desbiens <br />ICC Service Tech/Installer Exp. Date: <br />01/05/2019 <br />Manufacturer training: <br />NOTES <br />Onsite to verify 5 gallon capacity, proper drainage and a one hour hydrostatic test on the diesel ­2 fill spill container. A <br />secondary containment test was performed on the diesel -2 underground storage tank. All tests passed. <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: <br />EH Specialist: CESAR RUVALCABA <br />Name and Title: Rhome Desbiens, Technician <br />Phone: (209) 953-6213 <br />FA0003756 SR0078588 SC298 04/03/2018 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />