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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: UNITED #5447 Date: 01/07/2020 <br /> Address: 1469 E HAMMER LN , STOCKTON 95210 <br /> Requestor: MATT THOMAS, CGRS, INC. Telephone: (626) 627-8316 <br /> Program Element: 2308- UST RETROFIT Request#: SR0081071 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Leonardo Rangel ICC Service Tech/Installer Exp. Date: 06/16/2020 <br /> Manufacturer training: OPW,03/14/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for Corrosion protection: <br /> -Verified corrosion protection for 87, 89 and diesel direct bury spill buckets prior to backfilling. <br /> Still needed <br /> -Spill bucket one hour hydrostatic test <br /> -Verification of 5 gallon capacity <br /> -Verification of proper drainage <br /> - Measurement of drop tubes <br /> -Verification of flapper functionality <br /> -Verification of ball floats <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 /> U � r <br /> Received by: Name and Title: Leonardo Rangel, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0001570 SR0081071 SC298 01/07/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />