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Time In: <br /> Time Out: <br /> oPcttttN• c San Joaquin County <br /> ). •' ' • d$ <br /> p:: 0�, Environmental Health Department <br /> N: X <br /> 1868 East Hazelton Avenue , Stockton , CA95205-6232 <br /> 4 . . = iP Telephone; (209 ) 468 -3420 Fax; (209 ) 464-0138 Web: www. sjgov . org/ehd <br /> atipoR� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ARCO AM PM Date : 09/22/2017 <br /> Address : 1329 ESCALON AVE , ESCALON 95320 <br /> Requestor : PAUL RAJ , CHADHA CONSTRUCTION Telephone: ( 209 ) 595 -0787 <br /> Program Element : 2303 - UST/PIPING INSTALLATION Request # : SR0074800 <br /> Inspection Type: 131 - UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Engel Molina ( instsaller) ICC Service TecWlnstaller Exp , Date : 02/08/2017 <br /> Manufacturer training : <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection : <br /> Overfill prevention verification . Observed the measurement of the upper tube lengths and verified that the measurement would <br /> meet 95 % tank volume shutoff . <br /> 20 , 000 gallon tank measurements (for both fill tubes) <br /> riser-78" <br /> upper tube length - 89" <br /> 10 , 000 gallon tank measurements <br /> riser-745 ' <br /> upper tube length - 82" <br /> Note : The measurements observed for all three fill tubes provide an overfill percentage that is more stringent than 95 % . <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: Engel Molina , Installer <br /> EH Specialist : JOHN ALANIZ Phone : ( 209 ) 468-3147 <br /> FA0000293 SR0074800 SC131 09/22/2017 <br /> EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br /> I <br />