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S A N J Q Q Q U IN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: QUIK STOP MARKET#132 Date: 05/24/2021 <br /> Address: 3555 W HAMMER LN , STOCKTON 95209 <br /> Requestor: SARAH JABLONSKY-CONSTRUCTION MANAGER,WALTON ENGINEER Telephone: (916)373-1165 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083657 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Max Hines ICC Service Tech/Installer Exp. Date: 10/24/2021 <br /> Manufacturer training: Bravo, 12/11/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for visual inspection of UDCs to verify plug installation and barrier removal. Verified UDC sensors are located to detect <br /> leaks at earliest opportunity. <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 Sarah Jablonsky, Constru <br /> EH Specialist: LYDIA BAKER Phone: (209)616-3046 <br /> FA0002232 SR0083657 SC298 05/24/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />