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Time In: <br /> Time Out: <br /> •.pegt14.1f¢ San Joaquin County <br /> � � •SCG <br /> :y„ Environmental Health Department <br /> to: . x <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.slclov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CRUISERS MANTECA#29 Date: 04/05/2018 <br /> Address: 1137 W LATHROP RD , MANTECA 95336 <br /> Requestor: NICHOLAS ROWE, LC SERVICES Telephone: (559)444-1730 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078216 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Peter Westbrook ICC Service Tech/Installer Exp. Date: 07/26/2019 <br /> Manufacturer training: Veeder Root, 08/20/19 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following inspections: <br /> -Verify correct brine addition and verify brine communication in the 87 fill and 91 STP sumps. <br /> -Verify that the Bravo test ports were installed according to the manufacturer's instructions. <br /> -Ensure Sensor functionality in the 87 fill and 91 STP sumps. <br /> Brine was added prior to the arrival of the inspector. The technician on site had a Bravo brine container with him during the <br /> inspection. Compared the Bravo brine with the brine in the 87 fill and 91 STP sumps. No differences were noted. <br /> -Communication was observed in the 87 fill and 91 STP sumps. <br /> -Verified correct installation. <br /> -Sensor functionality for the brine related sensors was confirmed in the 87 fill and 91 STP sumps. <br /> No further inspections are required for this service requset. <br /> Note:for future service requests, please contact EHD for all required inspections. <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: Peter Westbrook, Technician <br /> EH Specialist: JOHN ALANIZ Phone: (209)468-3147 <br /> FA0019793 SR0078216 SC298 04/05/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />