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ur I Environmental Health Department <br /> 41 t: SAN-6-JOAQU <br /> vii fir : C(--)LJ Y Time In: <br /> r <br /> Time Out: <br /> r'�JFOSX:, Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: PERSHING GAS FOR LESS Date: 08/11/2022 <br /> Address: 4445 N PERSHING AVE , STOCKTON 95207 <br /> Requestor: JANELLE DOCKHAM, CONFIDENCE UST SERVICES Telephone: (661)631-3870 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084465 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Terrence Lay ICC Service Tech/Installer Exp. Date: 08/11/2022 <br /> Manufacturer training: Piping, 07/23/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for inspections following a dispenser and conversion frame replacement. <br /> According to the technician and the owner,the dispenser and conversion frame were not damaged and were not replaced. <br /> They stated the bollard at the end near the dispenser had been hit and the side panel of the dispenser was replaced, but no <br /> conversion frame, dispenser, or hanging hardware were impacted. <br /> Secondary containment testing was conducted on all product piping at 5 psi for 1 hour. Passed. <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 Angel Estrada, NWestco <br /> EH Specialist: STACY RIVERA Phone: <br /> FA0003994 SR0084465 SC298 08/11/2022 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />