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Time In: <br /> Time Out <br /> 1�'RA San Joaquin County <br /> L' Environmental Health Department <br /> � x <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.om/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: JAHANT FOOD N FUEL STOP Date: 07/06/2017 <br /> Address: 24323 N HWY 99 ,ACAMPO 95220 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6342 <br /> Program Element: 2308-UST RETROFIT Request#: SR0077671 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Joesph Bartholdi ICC Service Tech/Installer Exp. Date: 09/12/2018 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness secondary containment testing for the 89 grade product piping and the 89 annular space. The product <br /> piping was tested at 5 psi and the annular space was tested at 2 psi. Both of them were tested for 60 minutes. According <br /> to the service technician, both the product piping and the annular space passed the secondary containment testing. There <br /> was no observable drop in any of the gauges for the testing. <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 Cade.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: / Name and Title: Joesph Bartholdi, service technician <br /> EH Specialist: JOHN ALANIZ Phone: (209)468-3147 <br /> FA0004345 SR0077671 SC20 07/ 017 <br /> EHD 23-01 Rev.06130115 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />