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• • Time In: <br /> Time Out: <br /> �¢P4 .. San Joaquin County <br /> `�,, 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.sbgoy.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TESORO(MOBIL)68152 Date: 12/20/2018 <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 M Hernandez ICC Service Tech/Installer Exp. Date: 05/08/2019 <br /> Manufacturer training: OPW, 01/01/19 <br /> .r :.OVERALL IN$PEGT[PI NOTES, iNI GCIMMEM[S <br /> .. . <br /> NOTES <br /> On site to witness 60 minute hydrostatic test on the 91 product spill container.Verified 5 gallon capacity on the spill container. <br /> Verified proper drainage on the spill container.This tank is double wall with a steel primary tank and a fiberglass secondary <br /> tank. Since concrete was broken over the 91 product tank, a 7 inches of mercury for 60 minutes test was conducted to verify <br /> the integrity of the tank.All test passed <br /> This service request is completed. The facility may receive 91 product fuel at this time. <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: —?/y / Name and Title: Rey Hernandez, Service Technician <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0003603 SR0079789 SC298 12/20/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />