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W' X <br />Underground <br />Time In: <br />Time Out: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'gov.orci/ehd <br />Storage Tank Program Service Request Inspection Report <br />Name of Facility: WATERLOO FOODMART <br />Date: 11/16/2018 <br />Address: 4315 E WATERLOO RD, STOCKTON 95215-2305 <br />Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS <br />Telephone: (209) 461-6337 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0079401 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Chris Adams <br />ICC Service Tech/lnstaller Exp. Date: 04/19/2020 <br />Manufacturer training: Veeder-Root, 09/27/19 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />Witnessed functionality testing of the 420 vent annular brine sensor (L18). Passed. <br />Five sensors were observed in fuel alarm upon arrival on site - L11, L12, L14, L15, and L18. No brine was observed in the vent <br />sump brine reservoir or the attached tubes. The technician stated that the system has been leaking brine for a while, that refille <br />brine rapidly disappears from the reservoirs, and that no brine accumulation has been observed inside the sumps. He also stat <br />these issues are being addressed under a different permit application. <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: <br />Name and Title: Chris Adams, Technician <br />EH Specialist: STACY RIVERA Phone: (209) 468-3440 <br />FA0003831 SR0079401 SC298 11/16/2018 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />