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I Environmental Health Department <br /> S A N_6J 0 A 0 Uvii fir : C(--)L) Y Time In: <br /> r <br /> Time Out: <br /> �11r-1117_ <br /> Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 3443 E CHEROKEE RD Date: 12/20/2019 <br /> Address: 3443 E CHEROKEE RD , STOCKTON 95242 <br /> Requestor: LESLIE BURNSIDE, BARGHAUSEN CONSULTING ENGINEERS INC Telephone: (858)610-0153 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0078758 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Chris Adams ICC Service Tech/Installer Exp. Date: 04/19/2020 <br /> Manufacturer training: VR, 09/20/21;VMI, 05/31/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> -Leak detector testing of all leak detectors at 3gph at 10 psi. All passed. <br /> -Verified sensor functionality. The audible alarm on the monitoring panel was not functional at the beginning of testing. The <br /> panel had to be cold started and reprogrammed. All sensors passed. <br /> -Verified overfill prevention measurements at 90%, and functionality testing. Passed. <br /> -Reviewed contractor-provided copies of tank installation checklists. <br /> -Verified designated operator training (conducted 12/17/19). <br /> -Accepted CERS submittal,which included a Certification of Modification/Installation. <br /> Still needed: <br /> -All outstanding up-to-date permit fees must be paid prior to receiving the final approval to operate. <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: Robert Sarris, CEO <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> SR0078758 SC131 12/20/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />