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Time In: <br /> Time Out: <br /> opQ.�tN. San Joaquin County <br /> .X 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 /> �<<FORtN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ARCO 07049 Date: 11/20/2019 <br /> Address: 800 E Kettleman LN , LODI 95240 <br /> Requestor: ALEXIA INIGUES, BARGHAUSEN CONSULTING ENGINEERS INC Telephone: (425)251-6222 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0078236 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Elodio Sanchez ICC Service Tech/Installer Exp. Date: 07/14/2020 <br /> Manufacturer training: VR, 07/05/20; OPW, 10/24/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Onsite for pre-fuel drop inspection,verified the following with passing results: <br /> 1)Overfill prevention 87, 91, diesel. <br /> 2)Spill bucket capacity and 1 hour hydrostatic(87, 91, diesel). Proper drainage was not verified.The site is a manual pump to <br /> keep the spill container empty. <br /> 3)VPH components <br /> 4)Vacuum and Brine communication <br /> 4)Sensor functionality of all sensors <br /> 5) Dispenser footprints were contained by the UDCs. <br /> 6) Passing ELD test results were obtained. <br /> -Test ports were installed to facility frequent routine communication testing. <br /> -This site has a valid California Department of Tax and Fee Administration (CDTFA) number. <br /> ***This facility is approved to receive fuel, not to operate. <br /> NOTE-Additional inspections are needed. Refer to the approval letter for a list of required inspections. <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: L Name and Title: Elodio Sanchez, Field Tech <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0003633 SR0078236 SC131 11/20/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />