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Program Element: 2308 - UST RETROFIT <br />Telephone: (209) 461-6337 Requestor: DEBORAH JONES, ELITE IV CONTRACTORS <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Address: 2224 MANTHEY RD , STOCKTON 95206 <br />Date: 04/19/2021Name of Facility: CALIFORNIA STOP* <br />Underground Storage Tank Program Service Request Inspection Report <br />Time Out: <br />Time In: <br />Request #: SR0083468 <br />Environmental Health Department <br />Onsite Service Technician: Michael Kennard ICC Service Tech/Installer Exp. Date: 06/19/2021 <br />Manufacturer training: OPW, 05/23/21 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to witness the following: <br />-the diesel spill container test: verified minimum 5 gallon capacity, proper drainage, and 1 hour hydrostatic test <br />-all components tested passed <br />A secondary containment test must be performed on the diesel tank. Provide a 48 hour notification to ust@sjgov.org to <br />schedule this inspection. <br />This site is approved to receive fuel in the diesel tank. <br />To minimize person to person contact EHD is choosing to write the name of the person receiving the report instead of having <br />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: <br />EH Specialist:Phone:(209) 616-3028 <br />Emailed to Deborah Jones, Contracto <br />VICKY VANG-LEE <br />Page 1 of 1EHD 23-01 Rev. 09/16/2020 Underground Storage Tank Program Service Request Inspection Report <br />FA0003679 SR0083468 SC298 04/19/2021