Laserfiche WebLink
Program Element:2308 - UST RETROFITTelephone:(209) 461-6337Requestor:MEGAN MITCHELL, ELITE IV CONTRACTORSInspection Type:298 - UST RETROFIT REPAIR INSPECTIONAddress:14971 N HWY 88 , LODI 95240Date:10/31/2019Name of Facility:COUNTRYSIDE LIQUORS & GASUnderground Storage Tank Program Service Request Inspection ReportTime Out:Time In:Request #:SR0081169Environmental Health DepartmentOnsite Service Technician:Michael KennardICC Service Tech/Installer Exp. Date:06/19/2021Manufacturer training:Bravo, 04/02/22OVERALL INSPECTION NOTES AND COMMENTSNOTESOn site for the following inspections:- Verified dispenser footprints contained by the under dispenser containment sumps(UDC) (1/2 and 3/4)- Verified piping within the dispensers (1/2 ans 3/4)All passed visual inspection.The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health andSafety Code. If a reinspection is required, fees will be assessed at the current hourly rate.Received by:Name and Title:EH Specialist:Phone:(209) 468-3432Michael Kennard, Service TechPAUL NSOPage 1 of 1EHD 23-01 Rev. 06/30/15Underground Storage Tank Program Service Request Inspection ReportFA0000540 SR0081169 SC298 10/31/2019