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auiN <br /> SAN _JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: Pacific Service Station DATE:8/25/2022 <br /> ADDRESS:6131 Pacific Avenue CITY:Stockton ZIP CODE:95207 <br /> OWNER/OPERATOR:Afzal Ahmadl TELEPHONE#:(650)634-8449 <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION OTHER PROGRAM 2351 RECORD PR0231223 <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> On site to witness the retest for the overfill prevention equipment. <br /> OBSERVATIONS/COMMENTS: <br /> Witnessed retest of the overfill prevention verification for the 87 drop tube. <br /> Per the technician, Ed Stearns, drop tube passed at 93%. <br /> The 87 drop tube was replaced and the overfill prevention verification inspection was conducted on 3/29/2022. <br /> Test results were never received by the EHD. <br /> Service Tech on site: Ed Stearns <br /> ICC: 11/6/2022 OPW: 3/10/2024 <br /> CORRECTIVE ACTIONS: <br /> Submit a copy of the completed "Overfill Prevention Equipment Inspection Report Form" to the EHD within 30 days. <br /> CORRECT BY:-- <br /> INSPECTED BY:Gabriela Garcia-Mejla <br /> RECEIVED BY: DATE: <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> EHD 48-05 Rev.05/21/18 INSPECTION REPORT <br />