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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: ARCO 02093 Date: 05/17/2023 <br /> Address: 3425 TRACY BLVD , TRACY 95376 <br /> Requestor: A&S ENGINEERING/ROBERT VELASCO,A&S ENGINEERING Telephone: (661)250-9300 <br /> Program Element: 2308-UST RETROFIT Request#: SR0086421 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Verified dispenser footprints are contained by the UDCs, including piping and filters. <br /> -Visually inspected the piping within the dispensers-no issues noted. <br /> -Verified installation of Bravo retrofit plates to seal around conduits. <br /> **This facility is APPROVED TO OPERATE** <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 Velasco, and owne <br /> EH Specialist: STACY RIVERA Phone: (209)616-3043 <br /> FA0003627 SR0086421 SC298 05/17/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />