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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: JAMAR SERVICE <br />Date: 08/05/2019 <br />Address: 4075 E MAIN ST, STOCKTON 95215 <br />Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS <br />Telephone: (209) 461-6337 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0080429 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Chris Adams <br />ICC Service Tech/Installer Exp. Date: 04/19/2020 <br />Manufacturer training: OPW, 05/23/21 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for overfill prevention device inspection for OPW 71 SO in the 87 and 91 tanks. <br />-Verified riser height. <br />-Verified 95% calculations with the use of the tank charts and the OPW worksheet. <br />-Verified upper tube length. Both flappers are located for shutoff at less than 95%. <br />-Verified functionality of the flappers. <br />*This facility is approved for fuel delivery. <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 />1:I40__ <br />Received by: <br />EH Specialist: STACY RIVERA <br />Name and Title: Chris Adams, Service Technician <br />Phone: (209) 468-3440 <br />FA0002121 SR0080429 SC298 08/05/2019 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />