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r I Environmental Health Department <br /> - I <br /> COUNTY— <br /> Greatness <br /> U T <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SJ CO PUBLIC WORKS CORP YARD* Date: 09/20/2023 <br /> Address: 1810 E HAZELTON AVE , STOCKTON 95205 <br /> Requestor: JOSEPH BAGLEY, BAGLEY ENTERPRISES INC. Telephone: (209)367-4800 <br /> Program Element: 2308-UST RETROFIT Request#: SR0086058 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Joe Bartholdi ICC Service Tech/Installer Exp. Date: 09/07/2025 <br /> Manufacturer training: NOV, 03/16/24; Bravo, 06/17/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Secondary piping soap test and one hour pressure test at 4 psi. <br /> -87, diesel and satellite under dispenser containment sumps lake test. <br /> All passed. <br /> Note: This facility is not approve to operate the UST system additional inspection needed see approval letter dated September <br /> 8, 2023. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having <br /> them 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: E mail report to: Kimberly Harris, Con <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0003954 SR0086058 SC298 09/20/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />