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Appendix IX <br /> Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report Form <br /> TYPE OF ACTION ❑ Installation ❑ Repair ❑ 36 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID 10182105 Inspection Date <br /> 02/21/25 <br /> Facility Name SAN JOAQU I N COUNTY JAIL #2 <br /> Facility Address ZIP Code <br /> 7000 M I C HAE LS CAN L I S City STOC KTON <br /> 95231 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Inspection Phone <br /> ECO CHEK COMPLIANCE INC. 888-500-CHEK <br /> Mailing Address P.O. BOX 1394 LAFAYETTE CA 95459 <br /> Service Technician Performing Inspection Marco Alejos <br /> Contractor/Tank Tester License Number 958763 A <br /> ICC Number 841 5074 Expiration Date <br /> 02/28/2027 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> FFS- FFS- EBW , Phil-rite & EVR Phase 1 1013893711 08/15/25 <br /> Emco 3507 Ex. 02/29/25 VR: C26930 ATG: 6/9/25 Incon 1013893711 Ex 10/16/25 <br /> OPW 177-295 02/04/27 <br /> 4. INSPECTION PROCEDURES INFORMATION <br /> Inspection Procedures Used Components Inspected <br /> OPW FLAPPER <br /> 5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING INSPECTION <br /> I hereby certify that the OPE was inspected in accordance with California Code of <br /> Regulations, title 23, division 3, chapter 16, section 2637.2; that required supporting <br /> documentation is attached; and all information contained herein is accurate. I understand <br /> that test procedures shall be made available upon request by the governing authority. <br /> Service Technician Signature 4_ Date Total # of Pages <br /> 2-21-2025 2 <br /> CERS = California Environmental Reporting System, ID = Identification, ICC = International Code <br /> Council, OPE = Overfill Prevention Equipment <br /> Page 1 of 2 <br />