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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: 12/27/2022 <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: Anthony Reyes ICC Service Tech/Installer Exp. Date: 08/12/2024 <br /> Manufacturer training: OPW, 05/25/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following: <br /> -Verification of overfill prevention at<95% <br /> -Verified 5-gallon capacity and 1 hour hydrostatic test: PASSED <br /> -Drainage of spill container was not verified. <br /> This facility is NOT APPROVED to receive fuel. <br /> Facility is NOT APPROVED to operate. Please see permit approval letter dated December 17, 2021 for additional information <br /> and inspections required. <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 12/27/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />