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Time In: <br /> Time Out <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> P. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4CiF6'R�'� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Tracy Blvd Chevron Date: 03/12/2018 <br /> Address: 3775 N TRACY BLVD,TRACY 95376 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078727 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Joseph Bartholdi ICC Service TechAnstaller Exp. Date: 09/12/2018 <br /> Manufacturer training: Caldwell,04/01/18; DMP, 10/22/18 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Onsite to witness and observe secondary containment test on the 91 submersible turbine sump(STP).The 91 STP sump was <br /> tested via the 30 minute Caldwell hydrostatic test. The test passed. Secondary containment testing after the installation for <br /> the 91 STP sump is due in 6 months, by September 12,2018. <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: Joseph Bartholdi,Service Technician <br /> EH Specialist: BETTY HO Phone: (209)468-3455 <br /> FAD003715 980078727 SC298 03)12/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />