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Time In: <br /> i <br /> aNrN San Joaquin County Time Out: <br /> Z, Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephoner(209)468-3420 Fax:(209)464-0138 Web:www.sigov.ora/ehd <br /> �IFdP <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ARCH ARCO AM PM* Date: 02/08/2016 <br /> Address: 4855 S HWY99 EAST FRONTAGE RD, STOCKTON 95215 <br /> Requestor: KIM WHITE, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0071876 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician Dave Winkler I ICC Service Techrinstaller Exp. Date: 03/03/2016 <br /> Manufacturer training: Tank Tester,03/03/17; Veeder-Root, 02/10/16; VMI Tester,11/12/17 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site during the routine inspection and annual monitoring certification. Verified functionality of the monitoring system. <br /> Verified functionality of the overfill prevention. Only one leak detector was installed for the two 87 turbines-leak detector only <br /> worked for one 87 turbine. An additional leak detector will be needed. <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 remspecttiion is required,fees will be assessed at the current hourly rate. J <br /> Received by: Md,,(14f5�i/P/}'J�L/�C�✓J Name and Title: "c/tele <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0007571 SR0071876 SC298 02/08/2016 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />