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SAN JOAHI Environmental Health Department <br /> C U NTY Time In: <br /> Time Out: <br /> ' SS grows hojr <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: PERSHING GAS 4 LESS Date: 04/06/2020 <br /> Address: 4445 N PERSHING AVE, STOCKTON 95207 <br /> Requestor: JANELLE DOCKHAM, CONFIDENCE UST SERVICES, INC Telephone: (661) 631-3870 <br /> Program Element: 2308- UST RETROFIT Request#: SR0080966 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Frank Amestoy ICC Service Tech/Installer Exp. Date: 10/29/2021 <br /> Manufacturer training: VR, 08/03/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified the dispenser foot prints contained by the under dispenser containment(UDC) sumps and any potential leaks from <br /> piping and fuel filters. Deflector plates installed to permit drainage directly into UDCs. <br /> -Verified standalone 001 UDC sensors functionality- Passed. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <br /> This facility is approved to operate the UST system <br /> **Additional inspections are required. Refer to the approval letter dated November 19, 2019 for a list of inspections needed. <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: Name and Title: Frank Amestoy, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0003994 SR0080966 SC298 04/06/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />