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SA N �o AQ u I N Environmental Health Department <br /> C Q IJ N T Y Time In: <br /> _ Time Out: <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: fast and easy mart#103 Date: 05/14/2021 <br /> Address: 8660 LOWER SACRAMENTO RD , STOCKTON 95210 <br /> Requestor: RONNIE LEWIS, IEC SERVICES INC Telephone: (916)993-6312 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083567 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Hayden Nunes ICC Service Tech/Installer Exp. Date: 01/14/2023 <br /> Manufacturer training: OPW, 01/05/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections on the, 87 and 91 tanks spill containers. <br /> -Spill bucket test: <br /> -Verified minimum5 gallon capacity-Passed <br /> -Witnessed One hour hydrostatic test-Passed. <br /> -Verified proper drainage-Passed <br /> This facility is now approved to receive fuel in the, 87, and 91 tanks. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <br /> *Still needed see approval letter dated April 20, 2021.-(3c). <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: Hayen Nunes, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0003726 SR0083567 SC298 05/14/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />