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Time In: <br />Time Out: <br />QV. ! N. San Joaquin County <br />Environmental Health Department <br />OF <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'oq v.org/ehd <br />F0 <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: VALLEY PACIFIC FRESNO AVE CARDLOCK <br />Date: 04/06/2016 <br />Address: 1524 FRESNO AVE, STOCKTON 95206 <br />Requestor: MIKE ELIASON, VALLEY PACIFIC PETROLEUM SERVICES <br />Telephone: <br />(209) 993-8793 <br />Program Element: 2308 - UST RETROFIT <br />Request #: <br />SR0072452 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Josh Simmons <br />ICC Service Tech/Installer Exp. Date: <br />01/03/2018 <br />Manufacturer training: <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the following inspections: <br />- Primary containment testing of the new piping installed between UDC 2/3 and UDC 314 at 40 psi for 60 minutes. Passed. <br />- Primary containment testing of the new piping installed between UDC 1/2 and UDC 2/3 at 40 psi for 60 minutes. Passed. <br />- Primary containment testing of the existing piping between UDC 1 and UDC 2/3 at 40 psi for 60 minutes. Passed <br />- Secondary containment testing of the new piping installed between UDC 2/3 and UDC 3/4 at 5.2 psi for 60 minutes. Passed. <br />- Secondary containment of the new piping installed between UDC 1/2 and UDC 2/3 at 4.4 psi for 60 minutes. Passed. <br />- Secondary containment testing of the existing piping between UDC 1 and UDC 2/3 at 4.8 psi for 60 minutes. Passed. <br />- Witnessed soil sampling. Four samples were taken - below UDC 1, below UDC 2/3, below satellite piping 2, below satellite <br />piping 3. A piping closure inspection form was completed. <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: STACY RIVERA <br />EHD 23-01 Rev. 06/30/15 <br />Name and Title: Mike Eliason, Cardlock Manaqer <br />Phone: (209) 468-3440 <br />FA0007491 SR0072452 SC298 04/06/2016 <br />Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />