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SAN JOAOUI <br />CQU NTY <br />' SS grows hvj— <br />Environmental Health Department <br />Time In: <br />Time Out: <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: VALLEY PACIFIC CHARTER WAY CARDLOCK <br />Date: 01/31/2020 <br />Address: 1501 W CHARTER WAY, STOCKTON 95206 <br />Requestor: MIKE ELIASON, VALLEY PACIFIC PETROLEUM <br />Telephone: <br />(209) 948-9412 <br />Program Element: 2308 - UST RETROFIT <br />Request #: <br />SR0081657 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Garret Warren <br />ICC Service Tech/Installer Exp. Date: <br />09/20/2021 <br />Manufacturer training: OPW, 06/05/21 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for Biodiesel tank (1320) measurement of drop tube to verify 95% tank volume. <br />- Verified flapper functionality <br />- Verified ball float - no ball floats installed <br />All passed - Tank set at below 95% tank volume. <br />This facility is approved to receive fuel in the B20 tank. <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: <br />EH Specialist: PAUL NSO <br />Name and Title: Garret Warren, Service Tech <br />Phone: (209) 468-3432 <br />FA0003976 SR0081657 SC298 01/31/2020 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />