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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 Date: 01/13/2022 <br /> Address: 1469 E HAMMER LN , STOCKTON 95210 <br /> Requestor: ROSS MCLAREN, RM FUEL SYSTEMS Telephone: (805)710-2006 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083728 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Ross McLaren ICC Service Tech/Installer Exp. Date: 06/26/2022 <br /> Manufacturer training: Bravo, 01/31/23; VR, 06/19/23; FF, 05/16/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for inspection: <br /> -Received copy of alarm history prior to cold start <br /> -Received copy of alarm history after cold start <br /> -Witnessed sensor functionality at all dispensers <br /> -Verified dispenser footprints contained by the UDC <br /> -No leaks were observed for the piping within the dispensers <br /> -Concrete was not broken, secondary containment testing is not required on the tanks.All existing dispensers were replaced <br /> with new dispensers.All work was done above the shear valve. No conversion frames were installed. Dispensers 1/2 and 3/4 <br /> have existing conversion frames to fit the previous dispenser which were used to install the new dispenser. Dispensers 5/6, <br /> 7/8, 9/10 did not need conversion frames to install new dispensers as they fit the previous and new dispensers.All piping is in <br /> good condition and any leaks would fall back down into the UDC. <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 /> 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 to Ross McLaren, Contracto <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0001570 SR0083728 SC298 01/13/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />