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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: ESCALON MINI MART <br />Date: 12/21/2021 <br />Address: 1097 YOSEMITE AVE, ESCALON 95320 <br />Requestor: BONNIE GARBER, DONIEE PUMP COMPANY <br />Telephone: (209) 537-9396 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0084483 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Mario Romero <br />ICC Service Tech/Installer Exp. Date: 10/12/2022 <br />Manufacturer training: VR, 01/28/22 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to witness testing of the 7/8 under dispenser containment ULS sensors. Passed. <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. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <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: <br />EH Specialist: KRISTINA SAETERN <br />Name and Title: Emailed to Balwinder Singh, Owner <br />Phone: (209) 616-3045 <br />FA0000279 SR0084483 SC298 12/21/2021 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />