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SAN JOAQUI N <br />COUNTY— <br />��{ Greorness grows her . <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: SAFEWAY FUEL CENTER #1769 <br />Date: 03/14/2024 <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: Ryan Brownlee <br />ICC Service Tech/Installer Exp. Date: 08/24/2025 <br />Manufacturer training: BRAVO, 08/20/24; NOV, 07/26/25 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for a secondary testing. <br />- Witnessed the start of the "lake test" for the UDCs 1/2, 3/4, 5/6, 7/8, 9/10, 11/12, 13/14, 15/16, 87 STP sump, 91 STP sump <br />and diesel STP sump. <br />- Secondary soap testing of the pipings and fittings of the 87, 91, diesel product. Passed. <br />- Verification of secondary piping slope for 87, 91, diesel product piping, vent piping, and vapor recovery piping. <br />- Verification of pipe setbacks, crossovers, and burial depth. <br />- Verification of corrosion protection of director buried spill containers on the 87, 91, vapor, and diesel. <br />***Eusebio Sousa ICC: 6/26/2025; NOV 12/15/2026 <br />This facility is NOT approved to received fuel. <br />This facility is NOT approved to operate. <br />ADDITIONAL INSPECTIONS ARE REQUIRED. Please see approval letter dated 1/4/2024 for a list of requirements. Submit <br />required inspection in writing to UST@sjgov.org with a 48 hours advanced notification. <br />To minimize person to person contact EHD is choosing to write the name of the 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: <br />EH Specialist: KRISTINA SAETERN <br />Name and Title: Emailed to Ryan Brownlee, Contracto <br />Phone: (209) 616-3045 <br />FA0012764 SR0086810 SC298 03/14/2024 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />