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Time In: <br /> Time Out: <br /> �P.�•ut�!. c San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> • c... :P• Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ���FORN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: MARCH LANE 76* Date: 05/09/2019 <br /> Address: 2701 W MARCH LN, STOCKTON 95219 <br /> Requestor: MARTY WEITHMAN, SERVICE STATION SYSTEMS, INC Telephone: (408)213-6038 <br /> Program Element: 2308- UST RETROFIT Request#: SR0080049 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Eusebio (Sam) Sousa ICC Service Tech/Installer Exp. Date: 07/18/2019 <br /> Manufacturer training: OPW,12/14/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified overfill measurements and calculations for the 71 SO flappers in the 87 and 91 tanks. The technician used the "71 SO <br /> Overfill Valve In Tank Shutoff Level Worksheet'to confirm proper positioning. Overfill for both tanks was calculated at just <br /> under 93%. <br /> -Verified 87 and 91 flapper functionality. <br /> -Verified 5 gallon capacity for the 87 and 91 spill containers. <br /> -Verified drainage for the 87 and 91 spill containers. <br /> -Witnessed one hour hydrostatic testing of the 87 and 91 spill containers. Both passed. <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: Sam Sousa, Technician <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003798 SR0080049 SC298 05/09/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />