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SANJI Environmental Health Department <br /> COL) NTY Time In: <br /> Time Out: <br /> rrrws Ter!. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TIWANA GAS & FOOD Date: 03/03/2020 <br /> Address: 1210 E HAMMER LN , STOCKTON 95210 <br /> Requestor: JANELLE DOCKHAM, CONFIDENCE UST SERVICES Telephone: (661) 631-3870 <br /> Program Element: 2308- UST RETROFIT Request#: SR0081496 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Timothy Capehart ICC Service Tech/Installer Exp. Date: 02/25/2022 <br /> Manufacturer training: VR, 08/17/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> -Verified dispensers footprint contained by the under dispenser containment sumps(UDC)- Passed <br /> -Verified piping within the dispensers no evidence of any leaks- Passed <br /> -Verified Installation of Bravo Conversion frames-ok <br /> * Submit to EHD test results of the functionality of the monitoring system to verify monitoring has been restored to normal after <br /> cold start. <br /> *The tank owner or operator shall log into the California Environmental Reporting System (CERS) and ensure all <br /> UST information is current. <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: Timothy Caphart, Service Tech. <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0003730 SR0081496 SC298 03/03/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />