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• • Time In: <br /> Time Out: <br /> +++n. San Joaquin County <br /> a�•rA� <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �c. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sifaov.orcl/ehd <br /> tl dtlii% <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: PACIFIC AVENUE CHEVRON Date: 07/25/2018 <br /> Address: 6633 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: GREG KAISER, KAISER COMMERCIAL PETROLEUM Telephone: (209)401-2379 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078726 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Greg Kaiser ICC Service Tech/Installer Exp. Date: 10/18/2019 <br /> Manufacturer training: <br /> pYEEilk1!1SPEGTION NOTES iND.GOMMENIS, .. <br /> NOTES <br /> On site to witness 60 minute hydrostatic test on the 87 master, 87 slave and 91 product spill container.Verified 5 gallon <br /> capacity on all 3 spill containers.Verified proper drainage on all three containers. Since concrete was broken over the <br /> 87-product master, 87-product slave and 91-product secondary containment testing was conducted on all three tanks.All test <br /> passed. <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: Ruvian Laurel, Manager <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0003834 SR0078726 SC298 07/25/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />