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SANJI Environmental Health Department <br /> COL) NTY Time In: <br /> Time Out: <br /> rrrws Ter!. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHARTER WAY SHELL* Date: 10/03/2019 <br /> Address: 620 W DR MARTIN LUTHER KING JR BLVD, STOCKTON 95206 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308- UST RETROFIT Request#: SR0080743 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Micheal Kennard ICC Service Tech/Installer Exp. Date: 06/19/2021 <br /> Manufacturer training: OPW(SB), 05/23/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify corrosion protection for the 87 product and 91 product direct bury spill containers prior to backfilling. <br /> Verified the bottom of the OPW containers with riser were covered with 2inches black tape wrap to protect from corrosion to <br /> meet corrosion protection. <br /> This facility is not approved to receive fuel in the 87 and 91 tanks at this time. <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: Michael Kennard, Service Techniciar <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0003738 SR0080743 SC298 10/03/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />