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Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> W. X <br /> Y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.slgov.orq/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: UNITED#5446 Date: 12/01/2017 <br /> Address: 1403 W COUNTRY CLUB BLVD, STOCKTON 95204 <br /> Requestor: Telephone: (707)437-6668 <br /> Program Element. 2308-UST RETROFIT Request#: SR0077933 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Daniel Armour ICC Service Tech/Installer Exp. Date: 09/15/2019 <br /> Manufacturer training: CNI, 10/27/19 <br /> OVER ,LL,INSREGTION:NOTES'ANDCOMMENTS <br /> NOTES <br /> Onsite to witness and observe the one hour hydrostatic test for the waste oil spill container, and functionality of the float and <br /> chain mechanism in dispenser 3/4-91 product. Both tests passed.Also verified 5 gallon capacity and proper drainage for the <br /> waste oil spill container. <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: 5f� <br /> Name and Title: Daniel Armour, Service Tech. <br /> EH Specialist: AARON HANG Phone: (209)468-3453 <br /> FA0006438 SR0077933 SC298 12/01/2017 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />