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a a <br /> Time In: <br /> Time Out: <br /> a�an �G San Joaquin County <br /> ' 2 Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sicov.oro/ehd <br /> �IFbR� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Tracy Blvd Chevron Date: 11/27/2017 <br /> Address: 3775 N TRACY BLVD,TRACY 95376 <br /> Requestor: MARK VENDEIRO, MVP PETROLEUM ENGINEERING INC. Telephone: (916)205-1537 <br /> Program Element: 2308-UST RETROFIT Request#: SR0076811 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Benjamin Duncan ICC Service Tech/Installer Exp. Date: 02/16/2019 <br /> Manufacturer training: Caldwell, 07/05/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Onsite to witness and observe the sixth month retest on the secondary containment testing via Caldwell on the diesel fill sump. <br /> The test indicated a failure. Please repair and obtain a permit(if necessary)and schedule a retest. <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 remspeeccttii'oonnn is required,fees will be assessed at the current hourly rate. <br /> pe <br /> Received by: Name and Title: Beniamin Duncan, Service Tech <br /> EH Specialist: AARON HANG Phone: (209)468-3453 <br /> FA0003715 SR0076811 SC298 11127/2017 <br /> EHD 23-01 Rev.08/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />