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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: Bryan Self ICC Service Tech/Installer Exp. Date: 05/30/2019 <br /> Manufacturer training: Tank Tester,05/31/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed line tightness testing using the Triangle Environmental tester for 15 minutes. Both lines passed. <br /> "The tester did not have a copy of his certification for the Triangle line tester, but stated that he is current A copy of this <br /> certification for Bryan Self must be submitted to the EHD immediately. If a current copy of the certification cannot be provided, <br /> the line testing will need to be reconducted by a properly licensed and certified tester. <br /> "This facility is APPROVED to operate. <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: <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 />