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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: CRUISERS MANTECA#29 Date: 08/07/2019 <br /> Address: 1137 W LATHROP RD , MANTECA 95336 <br /> Requestor: MARTY WEITHMAN, SERVICE STATION SYSTEMS, INC. Telephone: (408)213-6038 <br /> Program Element: 2308-UST RETROFIT Request#: SR0080312 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: John Rodriguez ICC Service Tech/Installer Exp. Date: 10/19/2019 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Witnessed vacuum testing of the 91-octane STP and fill sumps. Passed <br /> -Witnessed vacuum testing of the diesel product STP sump. Passed <br /> -Verified brine type and brine addition (per manufacturer's instruction)of the 91-octane STP sump. <br /> -Verified brine communication. Passed <br /> -Witnessed sensor functionality test. Passed <br /> The Veer-Root 309 annular sensor in the 91-octane tank failed when tested. The service technician adjusted/cleaned the <br /> sensor, retested it, and it passed. <br /> -Witnessed integrity testing of the 91-octane STP, 91-octane fill, and diesel product sumps. 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: John Rodriguez, Service Tech <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0019793 SR0080312 SC298 08/07/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />