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Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www,smgov.org/ehd <br /> �lFOS; <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: COUNTRY MARKETPLACE Date: 05104/2018 <br /> Address: 1789 W CHARTER WAY , STOCKTON 95206 <br /> Requestor: FRANZEN HILL, FRANZEN-HILL CORP Telephone: (559)688-1467 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078652 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Alex Fuentes ICC Service Tech/Installer Exp. Date: 03/22/2019 <br /> Manufacturer training: Incon, 01/08/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Observed the following: <br /> Incon test on UDC sumps 314, 718, 11112 <br /> A one hour pressure test for the 91 and 87 octane secondary piping at dispensers 314, 718 and 11112 <br /> A .1 gallon per hour test on the 87 and 91 octane primary piping. performed by Zane Nimmo. tank tester 3131119, Petro-tite <br /> 2116120. <br /> All tests passed. <br /> Site is authorized to operate. <br /> A secondary containment test is required after 6 months on the replaced 91 octane pipe between dispensers 718 and 11112 <br /> and UDC 314, 516, 718, 9110 and 11112. <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 /> � jp_ <br /> Received by: - ' Name and Title: Alex Puentes, Technician <br /> EH Specialist: CESAR RUVALCABA Phone: (209)953-6213 <br /> FAC007486 SR0078652 SC298 05/04/2018 <br /> EHD 23-01 Rev.06/30115 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />