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Time In: <br /> Time Out: <br /> San Joaquin County <br /> Q` `a Environmental Health Department <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> q<<poaa� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: H&M - BW#98 Date: 10/05/2017 <br /> Address: 2501 JACKSON AVE, ESCALON 95320 <br /> Requestor: NICHOLAS ROWE, L C SERVICES LARRY&CLIFF ENTERPRISES INC Telephone: (559)444-1730 <br /> Program Element: 2308 - UST RETROFIT Request#: SR0078174 <br /> Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: James Wall(Installer) ICC Service Tech/Installer Exp. Date: 07/13/2019 <br /> Manufacturer training: OPW,06/23/18 <br /> NOTES,ANU, <br /> :COMM,EN <br /> NOTES <br /> On site for the following inspection: <br /> Verification of corrosion protection for spill bucket <br /> Verified corrosion protection on the spill container and on the riser. <br /> Additional inspections are still needed before Diesel fuel can be dropped into the tank. <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 /> {SCJ <br /> Received by: �J j Name and Title: James Wall, Installer <br /> EH Specialist: JOHN ALANIZ Phone: (209)468-3147 <br /> FA0003910 SR0078174 SC298 10/05/2017 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />