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Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> A��FOR� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: NATIONAL GAS Date: 02/09/2017 <br /> Address: 2057 S EL DORADO ST , STOCKTON 95206 <br /> Requestor: JAMES DAY, MID VALLEY CONSULTING Telephone: (530)749-9892 <br /> Program Element: 2308-UST RETROFIT Request#: SR0076121 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jason Hasse ICC Service Tech/Installer Exp. Date: 06/25/2018 <br /> Manufacturer training: VR, 12/09/17 <br /> OVERALL INSPECTf01+1 Nfl? ES:AND COMMENTS <br /> NOTES <br /> Witnessed sensor functionality verification after the cold start of the monitoring panel, including sensor out and fail-safe.All <br /> passed. <br /> Inspected piping under dispensers for leaks. None found. <br /> Verified that all piping under dispensers is contained within the UDCs and conversion frames. <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: Alyssa Arteago,Cashier <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0001418 SR0076121 SC298 02/09/2017 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />