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SAN :_ J OQQU I N Environmental Health Department <br /> O <br /> - - COUNTY Time In: <br /> Time Out: <br /> Z i <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility : CHARTER WAY76 Date : 08/24/2022 <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 Delgado ICC Service Tech/lnstaller Exp . Date : 08/05/2024 <br /> Manufacturer training : NOV, 01 /02/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following : <br /> -One hour pneumatic pressure test of all product, vapor and vent piping : PASSED <br /> - Primary piping soap test of all product , vapor and vent piping : PASSED <br /> -Verified functionality of all gauges. <br /> Please see permit approval letter dated December 17 , 2021 for additional information and inspections required . Send all <br /> inspections requests in writing to ust@sjgov. org with a 48- hour notice . <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 Robert Walton , Installer <br /> EH Specialist: GABRIELAGARCIA- MEJIA Phone : ( 209 ) 616-3037 <br /> SR0083599 SC298 08/24/2022 <br /> EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />