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SAN J O AQ I I N Environmental Health Department <br /> C= L" IBJTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Date: <br /> SAFEWAY FUEL CENTER#1769 April 04, 2024 <br /> Facility Address: Facility Phone: Program Record: <br /> 2802 COUNTRY CLUB BLVD, STOCKTON, CA 95204 (209)461-5555 PR0516736 <br /> Inspection Contact: Title: Phone: <br /> Keith Power Environmental Contact (510)246-0358 <br /> Inspection Type: Program: <br /> COMPLIANCE REVIEW -Field Activity 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 Inspector: Inspector Phone: <br /> Printed Name and Title: KRISTINA SAETERN, EH Specialist (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 />