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Time In: <br />Time Out: <br />o¢��+ San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />••., s P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.si4ov.orcl/ehd <br />9�1FORa\ <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: SAFEWAY FUEL CENTER #2600 <br />Date: 06/12/2018 <br />Address: 1987 W ELEVENTH ST, TRACY 95376 <br />Requestor: MARTY WEITHMAN, SERVICE STATION SYSTEMS, INC. <br />Telephone: (408) 213-6038 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0079248 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Michael McCarter <br />ICC Service Tech/Installer Exp. Date: 10/25/2018 <br />Manufacturer training: <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to witness visual inspection of the piping within the dispenser 7/8 and 13/14 after all three products (87, 91 and diesel) <br />were pumped into a calibration can. All the piping was observed to be product tight. <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: <br />EH Specialist: <br />P 105 <br />Name and Title: Aldo Basurto, Assistant Sales <br />ZUNA BARKER <br />Phone: (209) 953-7311 <br />FA0013503 SR0079248 SC298 06/12/2018 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />