Laserfiche WebLink
r S � OAQUIN Environmental Health Department <br /> -COUNTY <br /> Grrarness grows here. <br /> Service Request Inspection Report <br /> Name of Facility: MY MINI MART Date: 07/26/2024 <br /> Address: 1756 N WILSON WAY, STOCKTON 95205 <br /> Requestor: MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308- UST RETROFIT Request#: SR2400220 <br /> Inspection Type: 4320- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michael Kennard ICC Service Tech/Installer Exp. Date: 08/15/2025 <br /> Manufacturer training: Bravo, 06/17/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Verified dispenser footprints contained by UDCs <br /> -All product piping observed to be contained within the dispensers. <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: Emailed to Carrie Miller, Office Manag <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0001858 SR2400220 SC4320 07/26/2024 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />