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Program Element: 2304 - UST REMOVAL <br />Telephone: (925) 574-2606 Requestor: ALEX FLINK, INNOVATIVE CONSTRUCTION SOLUTIONS (ICS) <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Address: 4501 N PERSHING AVE , STOCKTON 95207 <br />Date: 01/30/2023Name of Facility: 7-ELEVEN INC #17334 <br />Underground Storage Tank Program Service Request Inspection Report <br />Request #: SR0085864 <br />Environmental Health Department <br />Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br />Manufacturer training: <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to witness the following: <br />-Piping location <br />-Collection of 3 piping samples and 2 UDC soil samples <br />Please provide me with a copy of the chain of custody for the soil samples collected today. <br />Per contractor, flex piping will be disposed of as hazardous waste. Manifest is pending. <br />Approximately 200 gallons of rinsate remains on site and is pending waste determination. <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: Name and Title: <br />EH Specialist:Phone:(209) 616-3037 <br />Emailed to Alex Flink, Contractor <br />GABRIELA GARCIA-MEJIA <br />Page 1 of 1EHD 23-01 Rev. 07/05/2022 Underground Storage Tank Program Service Request Inspection Report <br />FA0002479 SR0085864 SC298 01/30/2023