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0 <br /> nmom: ------_ <br /> Time Out: <br /> San Joaquin County <br /> EOViFOnDOBnt8| Health Department <br /> 18G8East Hazelton Avenue, Stockton, CAO5285-6232 <br /> Telephone:(28S)488-342UFax:(2U9)484-U138Web: <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: KAISER PERMANENTE Date: 05/31/2018 <br /> Address: 7373 WEST LN , STOCKTON 95210 <br /> Requestor: LIDDY MCKENZIE, GETTLER RYAN INC. elephone: (925)551-7555 <br /> Program Element: 2308-UST RETROFIT Request#: SR0079093 <br /> Inspection Type: 298-LIST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Kelvin Cruz ICC Service Tech/Installer Exp. Date: 02/04/2020 <br /> Manufacturer training: VR,09/27/18-, CSLB, 05/31/18 <br /> NOTES <br /> Onsite for sensor functionality of the replaced annular sensor from a Veeder root 407 to a Veeder root 409 sensor.Test <br /> passed. No cold start was performed today.According to technician, Kelvin Cruz,the cold start added to the pennit was a <br /> mistake, and an amended permit application will be provided. Permit to remain active until amended permit application <br /> reoeived, nevievmad, and approved. <br /> The person mcharge isresponsible for ensuring that the above mentioned facility ismcompliance with all applicable sections mthe 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: Kelvin Cruz,Technician <br /> EH Specialist: AARON HANG Phone: (209)468-3453 <br /> pA0002602op0079093oo29805131o018 <br /> s*oux-0` Rev.06/30/15 Page m1 Underground Storage Tank Program Service Request Inspection Report <br />