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SAN JOAOUI Environmental Health Department <br /> C U NTY Time In: <br /> Time Out: <br /> ' SS grows hoj— <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TIWANA GAS & FOOD Date: 03/04/2020 <br /> Address: 1210 E HAMMER LN , STOCKTON 95210 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308- UST RETROFIT Request#: SR0081167 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Chris Adams ICC Service Tech/Installer Exp. Date: 04/19/2021 <br /> Manufacturer training: FF EVR Ph i, 07/25/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections on 87, 91 and diesel UST system: <br /> *diesel tank formerly 89. <br /> Witnessed: <br /> - Spill buckets, verified 5 gallon capacity- Passed <br /> - One hour hydrostatic test- Passed <br /> -Verified proper drainage- Passed <br /> -Verified corrosion protection <br /> -Witnessed Franklin fueling(FF) defenders drop tubes series OPV , 708590 series installed in place of OPW 7ISO as stated <br /> on service request. Drop tubes set at 93% of tank volume <br /> -The service technician stated that there are no ball floats, and ball floats have never been installed. <br /> *** Immediately submit an amendment to service request scope of work to include FF defenders drop tubes, cut sheets and <br /> calculations in place of OPW 71SO drop tubes. <br /> This facility is now approved to receive fuel in 87, 91 and diesel UST system. <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: Chris Adams, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0003730 SR0081167 SC298 03/04/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />