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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: BlackHawk Petroleum Inc Date: 01/03/2024 <br /> Address: 5611 E WATERLOO RD , STOCKTON 95215 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0087536 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Mike Kennard ICC Service Tech/Installer Exp. Date: 08/15/2025 <br /> Manufacturer training: OPW, 06/30/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Verified corrosion protection for the 87 and diesel spill containers. <br /> This facility is NOT approved to receive fuel in the 87 and diesel spill containers. <br /> Additional inspections are needed. See the approval letter dated 12/28/23 for details of additional requirements. <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 Elite IV Contractors, <br /> EH Specialist: STACY RIVERA Phone: (209)616-3043 <br /> FA0002160 SR0087536 SC298 01/03/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />