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I Environmental Health Department <br /> S A N_6J 0 A 0 Uvii fir : C(--)L) Y Time In: <br /> r <br /> Time Out: <br /> �11r-1117_ <br /> Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TESORO(Shell)68221(WRR 6290) Date: 12/27/2019 <br /> Address: 2705 COUNTRY CLUB BLVD , STOCKTON 95204 <br /> Requestor: WALTON ENGINEERING INC.,WALTON ENGINEERING INC. Telephone: <br /> Program Element: 2308-UST RETROFIT Request#: SR0080699 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: David Delgado ICC Service Tech/Installer Exp. Date: 12/29/2019 <br /> Manufacturer training: Incon Level 4, 03/08/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> -Witnessed secondary containment testing of the 87 STP sump. Passed. <br /> -Witnessed secondary containment testing of all five UDCs. Passed. <br /> -Visual inspection of piping inside UDCs. No leaks observed. <br /> **This facility is approved to operate. <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: David Delgado, Tchnician <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0002048 SR0080699 SC298 12/27/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />