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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: 11/27/2019 <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; VMI, 12/02/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Onsite for a final UST installation inspection. Onsite for a first routine Monitoring System Certification (post-UST installation) <br /> and a routine Underground Storage Tank(UST)inspection.All sensors(liquid, smart)were tested.Vacuum communication <br /> was observed on all piping. Spill containers(87, 91, diesel)were tested with passing results. Leak detectors(87, 91, diesel) <br /> were tested with passing results. <br /> .NOTE: Facility is not authorized to operate until all violations associated with the 11/27/2019 monitoring system certification <br /> report, or any amended versions of that report, are addressed and all requirements for service request SR0078236 are met. <br /> Among the requirements that need to be met are the submission of the California Environmental Reporting System (CERS) <br /> and all applicable hazardous materials, hazardous waste and UST components, an accurate"Certification of Installation/ <br /> Modification"form for each tank shall be submitted into CERS, an accurate and drawn to scale as-built plan must be sumitted <br /> to the EHD and all outstanding up-to-date permit fees must be paid prior to receiving the final approval to operate.All <br /> submittals must be reviewed and approved by the EHD. <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 /> '' <br /> Received by: R1Name and Title: miguel ceja, super <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0003633 SR0078236 SC131 11/27/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />