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Environmental Health Department <br /> SAN.%JOAOUIN <br /> r=L- C,­ —CQU'NTY <br /> Gri�orjiess qrow� <br /> Service Request Inspection Report <br /> Name of Facility: ARCO Date: 10/01/2024 <br /> Address: 4607 S AIRPORT WAY, STOCKTON 95206 <br /> Requestor: Charanjiv Dhaliwal elephone: (209)992-9253 <br /> Program Element: 2303 - UST/PIPING INSTALLATION Request#: SR0083837 <br /> Inspection Type: 131 - UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Ariel Barrantes ICC Service Tech/Installer Exp. Date: 08/01/2026 <br /> Manufacturer training: BRAVO, 01/06/26 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Verified brine type and witnessed the initial brine addition to the under dispenser containment.This is incomplete.All brine-filled <br /> sumps and/or UDCs need to be witnessed. The STP and fill sumps will be witnessed at a different date. <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 6/14/2024 for a list of requirements. Submit inspection <br /> requires in writing to UST@sjgov.org with 48-hours advanced notice. <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: Name and Title: �mailed to Latham Zubillaga, Contrac <br /> EH Specialist: KRISTINASAETERN Phone: (209)616-3045 <br /> FA0024830 SR0083837 SC131 10/01/2024 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />