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SANJOAQUI Environmental Health Department <br />f Crectness grows Frere, <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: SAFEWAY FUEL CENTER #1769 <br />Date: 02/13/2024 <br />Address: 2802 COUNTRY CLUB BLVD, STOCKTON 95204 <br />Requestor: RYAN BROWNLEE - CONTRACTOR, ALBE MAINTENANCE INC <br />Telephone: (707) 569-4791 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0086810 <br />Inspection Type: 298 - UST SERVICE REQUEST - FIELD ACTIVITY <br />Onsite Service Technician: <br />ICC Service Tech/Installer Exp. Date: <br />Manufacturer training: <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />Witnessed dispenser, piping and stockpile sampling for piping/dispenser removal. <br />Sampling was conducted by Scott Bittinger PG, CEM , APTIM environmental project Manager. <br />- Eight dispenser samples were taken one sample beneath each dispenser, 2ft into the native soil at <br />9.15am. Labeled DSP 1/2, DSP 3/4, DSP 5/6, DSP 7/8, DSP 9/10, DSP 11/12, DSP 13/14 and DSP 15/16. <br />- Six piping soil samples were taken 2 ft into the native soil, labeled: PI -1, PI -2, PI -3, PI -4, PI -5 and PL6 <br />- Four sockpile sample taken from different sides of stockpile labeled SWC 1, SWC 2, SWC 3, SWC 4 <br />Soil Stock pile volume approximately 75 cubic yards. <br />No noticeable discoloration was observed. <br />Discussed sampling and analytical requirements with sampler. Verified chain of custody. <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: <br />EH Specialist: PAUL NSO <br />Name and Title: E mail report to: Ryan Brownlee, Con <br />Phone: (209) 616-3049 <br />FA0012764 SR0086810 SC298 02/13/2024 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />