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S A N J Q Q Q U IN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: San Joaquin General Hospital Date: 10/11/2021 <br /> Address: 500 W Hospital RD , FRENCH CAMP 95231 <br /> Requestor: ANN MARIE OR JOE, BAGLEY ENTERPRISES INC Telephone: (209)367-4800 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084286 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Andrew Bagley ICC Service Tech/Installer Exp. Date: 11/12/2022 <br /> Manufacturer training: OPW, 01/22/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection on the diesel tank underground storage system.: <br /> Overfill prevention equipment verification and tank charts: <br /> -Verified measurement of OPW drop tube set at 92%tank volume. <br /> -Verified flapper functionality <br /> This facility is not approve to receive fuel in the diesel tank until ball floats are verified. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <br /> Note: Incomplete inspection:The technician was unable to verify ball floats. <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: E mailed to: Jesse Escotto, Environm <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> SR0084286 SC298 10/11/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />