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INSTALL_2020
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231074
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INSTALL_2020
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Last modified
8/23/2021 2:36:18 PM
Creation date
12/7/2020 10:52:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2020
RECORD_ID
PR0231074
PE
2351
FACILITY_ID
FA0002541
FACILITY_NAME
7-ELEVEN INC #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11002003
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SANJUAQUIN Environmental Health Department <br /> —COUNTY Time In: <br /> Time Out: <br /> ilGreorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN INC#20632 Date: 12/18/2020 <br /> Address: 4627 DA VINCI DR , STOCKTON 95207 <br /> Requestor: NICHOLAS ROWE, LC SERVICES Telephone: (559)892-5287 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0079419 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Sergio Nunez ICC Service Tech/Installer Exp. Date: 08/10/2021 <br /> Manufacturer training: Tank Tester, 06/30/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On-site for the following: <br /> -Witnessed the start of the Enhanced Leak Detection (ELD)testing <br /> This facility is not approved to operate the UST system, additional inspections are required. Refer to the approval letter for a <br /> list of required inspections. <br /> To minimize person to person contact, the EHD is choosing to write the name of the person receiving the report instead of <br /> having them sign. <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: Emailed to Larry Carpenter, Contract <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0002541 SR0079419 SC131 12/18/2020 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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