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Time In: <br /> Time Out: <br /> �P.�•ut�!. c San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> • c... :P• Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ���FORN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: WATERLOO FOODMART Date: 02/15/2019 <br /> Address: 4315 E WATERLOO RD, STOCKTON 95215 <br /> Requestor: MEGAN MITCHELL Telephone: <br /> Program Element: 2308- UST RETROFIT Request#: SR0078796 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Joseph Bartholdi ICC Service Tech/Installer Exp. Date: 11/08/2020 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness primary piping testing of the 87, 91, vapor recover, and vent piping for one hour and conduct soap testing of <br /> all primary fittings and connections. All passed. <br /> *The facility is NOT approved to operate. Additional testing is needed -see the approval letter for a list of required inspections. <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: Joe Bartholdi, Service Tech <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003831 SR0078796 SC298 02/15/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />