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ur I Environmental Health Department <br /> 41 t: SAN-6-JOAQU <br /> vii fir : C(--)LJ Y Time In: <br /> r <br /> Time Out: <br /> r'�JFOSX:, Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: DINO MART Date: 01/29/2021 <br /> Address: 1001 E YOSEMITE AVE , MANTECA 95336 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: <br /> Program Element: 2308-UST RETROFIT Request#: SR0082593 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> Visual inspection of the conversion frames and the dispenser footprints. Filters and piping are contained in the UDCs. <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: <br /> EH Specialist: STACY RIVERA Phone: <br /> FA0000421 SR0082593 SC298 01/29/2021 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />