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Environmental Health Department <br /> i � <br /> SAN . JOAQUIN <br /> .. - - COUk Time In: <br /> NTY <br /> I L�� e � , , � , n , ! <br /> Time Out: <br /> s <br /> ;�y'�v.' " Greatness 9rndr5 he re _ <br /> ip <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility : 7- ELEVEN INC #38616 Date : 08/26/2022 <br /> Address : 601 W CAROLYN WESTON BLVD , STOCKTON 95206 <br /> Requestor: ROBERT FORLOINE , PM DESIGN GROUP INC Telephone. ( 707 ) 387 -9883 <br /> Program Element: 2303 - UST/ PIPING INSTALLATION Request # : SR0082546 <br /> Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jesus Saldivar ICC Service Tech/ Installer Exp . Date : 06/ 11 /2023 <br /> Manufacturer training : VR , 04/21 /23 ; VMI , 11 /08/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following : <br /> - Leak detector test <br /> -Verified positive shutdown <br /> -Witnessed testing of vacuum sensors <br /> -All testing conducted passed <br /> This facility is NOT approved to operate. <br /> See approval letter for additional requirements . To minimize person to person contact EHD is choosing to write the name of <br /> the person receiving the report instead of having them sign . <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: Emailed to Crystal Justice , Engineer] <br /> EH Specialist: GABRIELA GARCIA-MEJIA Phone : (209 ) 616 -3037 <br /> SR0082546 SC298 08/26/2022 <br /> EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />