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Time In: <br /> Time Out: <br /> ol!a�t"•.•� San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . 84�rFOR��a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.si4ov.oro/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN INC#17334 Date: 10/13/2017 <br /> Address: 4501 N PERSHING AVE , STOCKTON 95207 <br /> Requestor. MICHAEL WALTON, WALTON ENGINEERING INC Telephone: (916)373-1165 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078234 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jesse Andrade ICC Service Tech/Installer Exp. Date: 02/08/2018 <br /> Manufacturer training: Installer, 09/09/18; OPW, 12/31/18 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Onsite to witness secondary containment test on the 91-octane annular, verified 5-gallon capacity of the 91-octane spill <br /> container, one hour hydrostatic test, and drain valve.All tests passed. <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 /> Ila—Received by: Name and Title: Jessie Andrade, Tech <br /> EH Specialist: AARON HANG Phone: (209)468-3453 <br /> FA0002479 SR0078234 SC298 10/13/2017 <br /> EHD 2301 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />