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• • Time In: <br /> Time Out: <br /> 141 San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TESORO(MOBIL)68152 Date: 12/19/2018 <br /> Address: 401 W KETTLEMAN LN LODI 95240 <br /> Requestor: MICHAEL WALTON,WALTON ENGINEERING Telephone: (916)373-1165 <br /> Program Element: 2308-UST RETROFIT Request#: SR0079789 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Rey Hernandez ICC Service Tech/Installer Exp. Date: 05/08/2019 <br /> Manufacturer training: OPW, 01/01/19 <br /> *=w. OVERAII ISPEGT�O�[ l! IIS AND COMMENTS <br /> NOTES <br /> On site to verify corrosion protection for the 91 product direct bury spill container prior to backfilling. The riser pipe was coated <br /> with 2 inch, 20 mil tape to protect it from the backfill,the rest of the spill container meets corrosion protection by isolation due <br /> to the material of the outside of the container. Measurement of the Overfill prevention was verified to be set at 95%of the tank <br /> volume. Ball floats were removed from the vent lines to ensure that they do not interfere with the installed flapper valve. <br /> This service request is not completed at this time.A verification of a minimum 5 gallon capacity, a one hour hydrostatic test(or <br /> equivalent)along with proper drainage, and secondary containment testing on the 91 product tank must be verify in order for <br /> the facility to receive 91 product fuel. <br /> An inspection to complete the service request is schedule for 12/20/18 at I lam. <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: Z j Name and Title: Rey M Hernandez, Service Technicia <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0003603 SR0079789 SC298 12/19/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />