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SANOAQU I N Environmental Health Department <br />COU NI T Y I Y Time In: <br />+_,fr Time Out: <br />Greotr+ess �row3 here. <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: UNITED # 5447 <br />Date: 12/09/2021 <br />Address: 1469 E HAMMER LN , STOCKTON 95210 <br />Requestor: MATT THOMAS, CGRS INC <br />Telephone: (626) 627-8316 <br />Program Element: 2309 - UST RETROFIT - Minor Plan Check <br />Request #: SR0084152 <br />Inspection Type: 198 - UST RETROFIT REPAIR PLAN CHECK <br />Onsite Service Technician: Leonardo Rangel <br />ICC Service Tech/Installer Exp. Date: 08/12/2023 <br />Manufacturer training: Bravo, 12/04/23 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site and verified the following: <br />1. Removal of barriers and installation of Bravo sensor cups and Bravo retrofit kit within UDCs 1/2, 3/4, 5/6, 7/8, and 9/10**, so <br />that potential leaks drain to one low point toward UDC sensor. <br />**Amend the permit to include the scope of work done on UDC 9/10, and submit the amended permit to EHD. <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: <br />EH Specialist: ELIANNA FLORIDO <br />Name and Title: Emailed to Matt Thomas, Contractor <br />Phone: (209) 616-3050 <br />FA0001570 SR0084152 SC198 12/09/2021 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />