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r SANJOAQUI Environmental Health Department <br /> C U N T Time In:Time Out: <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SHORT STOP FOOD MART Date: 02/08/2022 <br /> Address: 20 W TURNER RD , LODI 95240 <br /> Requestor: DEBORAH JONES, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084347 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Christopher Adams ICC Service Tech/Installer Exp. Date: 09/08/2023 <br /> Manufacturer training: FF, 07/20/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the installation of the 87 and 91 fill-tube shut-off valves. <br /> Verified appropriate tank charts and calculations. <br /> Verified there are no ball floats installed. <br /> Verified flapper functionality. <br /> This site is approved to receive fuel in the 87 and 91 tanks. <br /> To minimize person to person contact the EHD is choosing to write the name of person receiving the report instead of having <br /> them 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: Name and Title: Emailed to Deborah Jones, Contracto <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0000645 SR0084347 SC298 02/08/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />