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f MJ Q A Q I I I N Environmental Health Department <br /> COUNTY �Y <br /> Greol less grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SHELL FOOD MART Date: 10/19/2022 <br /> Address: 2320 N ELDORADO ST, STOCKTON 95204 <br /> Requestor: CARRIE MILLER, EITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085528 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michael Kennard ICC Service Tech/Installer Exp. Date: 07/06/2023 <br /> Manufacturer training: NOV, 03/16/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Witnessed diesel secondary piping soap test of product piping and penetrations. <br /> -Witnessed diesel secondary piping one-hour pneumatic pressure test at 3.5 PSI <br /> -Verified diesel secondary piping slope test at 1/8 inch per foot or greater to the diesel STP sump. <br /> All Passed. <br /> This facility is not approve to operate the diesel UST system see approve letter for additional inspections. <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 /> 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: E mail report to: Robert Lutz, Environ <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0006447 SR0085528 SC298 10/19/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />