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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: QUIK STOP MARKET#076 Date: 09/09/2021 <br /> Address: 1030 S OLIVE AVE , STOCKTON 95215 <br /> Requestor: DEBORAH JONES, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083602 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michal Kennard ICC Service Tech/Installer Exp. Date: 02/26/2022 <br /> Manufacturer training: Bravo, 04/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to inspect completed installation of conversion frames. <br /> -Verified that a leak from all product piping and associated components would fall into the UDC. <br /> -Verified correct installation of conversion frames. <br /> -Did not observe any leaking piping. <br /> -Verified sensor functionality. <br /> -Did not receive a copy of the alarm history before the cold start. Per Michal, a copy of the cold start will be provided in the <br /> final report to the EHD. <br /> Emailed a copy of the report to Debbie Jones, Elite IV, at<dispatch@eliteiv.com>and Marty Hilfinger at <br /> <mhilfinger@cumberlandfarms.com>. <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 report to, Marty Hilfinger <br /> EH Specialist: JOHN ALANIZ Phone: (209)616-3053 <br /> FA0001060 SR0083602 SC298 09/09/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />