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SAN JOAQUIN <br />C �L" INTY <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Date: <br />SAFEWAY FUEL CENTER #1769 <br />April 04, 2024 <br />Facility Address: <br />Facility Phone: <br />Program Record: <br />2802 COUNTRY CLUB BLVD, STOCKTON, CA 95204 <br />(209) 461-5555 <br />PR0516736 <br />Inspection Contact: <br />Title: <br />Phone: <br />Keith Power <br />Environmental Contact <br />(510) 246-0358 <br />Inspection Type: <br />Program: <br />COMPLIANCE REVIEW - Field Activity <br />2361 - UST FACILITY <br />Overall Inspection Comments <br />COMMENTS <br />On site for the following: <br />- Witnessed and verified of overfill prevention for the product 87, 91, and diesel set to 95% or less. Passed. <br />To minimize person to person contact 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 ($162). To schedule an <br />appointment, please call (209) 468-3420. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received by: Date: April 04, 2024 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />KRISTINA SAETERN, EH Specialist <br />(209) 616-3045 <br />Emailed to Keith Power, Environmental Contact <br />FA0012764 PR0516736 SCO12 04/04/2024 <br />EHD 23-01 Rev. 01/20/22 Page 1 of 1 Underground Storage Tank Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />