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Time IrL <br /> Time Out: <br /> 4°tn. San Joaquin County <br /> ,a .go <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.ssogov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: VALLEY PACIFIC CHARTER WAY CARDLOCK Date: 04/04/2016 <br /> Address: 1501 W CHARTER WAY, STOCKTON 95206 <br /> Requestor: MIKE ELIASON,VALLEY PACIFIC PETROLEUM SERVICES, ING Telephone: (209)993-8793 <br /> Program Element: 2308-UST RETROFIT Request#: SR0072454 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Stewart Bradly ICC Service Tech/Installer Exp. Date: 02/12/2017 <br /> Manufacturer training: Incon Level 4, 02/04/18 <br /> NOTES <br /> On site for the following inspections: <br /> -Visual inspection of the diesel piping within dispenser 1/2-no leaks were observed. <br /> -Secondary containment testing of UDC 1/2 using an Incon tester. Passed. The tester date could not be changed and reads <br /> 28/02/16. <br /> -Secondary containment testing of the 87 piping at 4.5 psi for 60 minutes. 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: Mike Eliason, Cardlock Manager <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003976 SR0072454 SC298 04/04/2016 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />