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SAN <br /> J O A U I Environmental Health Department <br /> COUNT <br /> G'rratrress grows here, <br /> Service Request Inspection Report <br /> Name of Facility: United#5446 Date: 07/21/2025 <br /> Address: 1403 W COUNTRY CLUB BLVD , STOCKTON 95204 <br /> Requestor: THOMAS, CGRS INC Telephone: (916)991-1100 <br /> Program Element: 2308- UST RETROFIT Request#: SR2400688 <br /> Inspection Type: 4320- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Leo Ranqel ICC Service Tech/Installer Exp. Date: 5/19/2027 <br /> Manufacturer training: Universal, 01/22/26; Bravo, 12/01/26 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Verified waste oil overfill valve installation. <br /> -Witnessed measurement of waste oil overfill valve to ensure shut off at<95%capacity and cell float functionality.All <br /> components passed. <br /> -Verified that all pertinent tank charts and calculations were available for review at the time of inspection. <br /> -Verified installation of wire mesh screen on fill port of waste oil tank. <br /> -Verified no ball floats present in waste oil tank. <br /> -Verified proper installation of float&chain in UDC 7/8. <br /> -Witnessed functionality test of float&chain. <br /> The facility is approved to operate the waste oil tank. <br /> A copy of the test report for all installed and tested components must be submitted within 30 days of the tests. <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: Emailed to MatthewThomas,mthomas@cgrs.com Name and Title: Matt Thomas, CGRS, Inc. <br /> EH Specialist: LYNSEY SAMMONS Phone: (209)616-3067 <br /> FA0006438 SR2400688 SC4320 07/21/2025 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />