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S A N J Q Q Q U IN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHARTER WAY 76 Date: 02/21/2023 <br /> Address: 1720 S FRESNO AVE , STOCKTON 95206 <br /> Requestor: SARAH JABLONSKY,WALTON ENGINEERING, INC. Telephone: (916)373-1165 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0083599 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Juan Jauregui ICC Service Tech/Installer Exp. Date: 08/05/2023 <br /> Manufacturer training: VR, 05/10/23;VMI, 03/12/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following: <br /> -Leak detector testing for the 87, 91 & Diesel product: PASSED <br /> -Monitoring system functionality <br /> This site is APPROVED to receive fuel.This site is NOT APPROVED to operate. <br /> Please see permit approval letter dated December 17, 2021 for additional information. <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 Richard Walton, Installer <br /> EH Specialist: GABRIELA GARCIA-MEJIA Phone: (209)616-3037 <br /> SR0083599 SC298 02/21/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />