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Time In: <br /> Time Out: <br /> oPa�tN. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> ca .... ..�;;P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> LlFOR <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SOHAL#3 Date: 04/01/2019 <br /> Address: 2494 E FREMONT ST , STOCKTON 95205 <br /> Requestor: KARLI KARNS, CONFIDENTIAL UST SERVICES INC Telephone: (661) 631-3870 <br /> Program Element: 2308- UST RETROFIT Request#: SR0078721 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Timothy Capehart ICC Service Tech/Installer Exp. Date: 03/03/2020 <br /> Manufacturer training: OPW,08/19/20; VMI, 09/04/20; VeederRoot,03/03/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Witnessed sensor functionality verification testing, including fail safe and sensor out. All passed. <br /> -Verified brine and vacuum communication. <br /> -Witnessed brine filling of the tank top sumps and verified the use of brine by the proper manufacturer. <br /> -Visually inspected piping in the dispensers- no leaks or drips observed. <br /> -Verified piping and filters are contained within the UDC. No conversion frames are needed. Deflector plates are needed and <br /> installed. <br /> -Witnessed leak detector testing at 3 gph at 10 psi. Both passed. <br /> -Verified installation of VPH components. <br /> -Verified spill bucket 5 gallon capacity and drainage. Witnessed one hour hydrostatic testing of spill buckets. Both passed. <br /> -Verified proper installation and measurements of the overfill prevention flappers. The 87 flapper upper tube length was too she <br /> The drop tube for the 87 tank was rebuilt while on site. <br /> *Line tightness testing is scheduled for later today. <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: Name and Title: Frank Landa, Technician <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003863 SR0078721 SC298 04/01/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />