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Time In: <br /> Time Out: <br /> San Joaquin County <br /> :Z� Environmental Health Department <br /> W. :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: VALLEY PACIFIC HWY 99 CARDLOCK Date: 01/28/2019 <br /> Address: 3550 S HWY 99 , STOCKTON 95215 <br /> Requestor: MIKE ELIASON, VALLEY PACIFIC PETROLEUM SERVICES Telephone: (209)948-9412 <br /> Program Element: 2308-UST RETROFIT Request#: SR0080063 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Torstein Armour ICC Service Tech/Installer Exp. Date: 04/17/2019 <br /> Manufacturer training: OPW, 07/11/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify corrosion protection for the Diesel direct bury spill container prior to backfilling.The bottom of the OPW Edge <br /> 1 Single-Wall spill container riser was cover with 2 inch, 20 MIL pipe wrap tape to protect it from corrosion to meet corrosion <br /> protection verification.spill bucket can be backfilled at this time. <br /> This service request is NOT completed at this time.A verification of a minimum 5 gallon capacity, a one hour hydrostatic test <br /> (or equivalent)along with proper drainage, and secondary containment testing on the diesel product tank must be verify in <br /> order for the facility to receive fuel. Perform the missing test, provide a 48 hour notification prior to performing the test. Contact <br /> EHD at 209-953-7311 or 209-953-7669 prior depositing fuel in the Diesel tank. <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: Torstein Armour, Service Technician <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0007030 SR0080063 SC298 01/28/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />