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COMPLIANCE INFO_2017-2018
Environmental Health - Public
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PR0232397
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COMPLIANCE INFO_2017-2018
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Last modified
11/14/2023 2:06:26 PM
Creation date
6/3/2020 9:56:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2018
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\Y\YOSEMITE\1777\PR0232397\RETROFIT PLAN 2017.PDF
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EHD - Public
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. Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> W. :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •�f�i i�dYt�'�? <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: KAISER FOUNDATION-MANTECA Date: 12/06/2018 <br /> Address: 1777 W YOSEMITE AVE , MANTECA 95337 <br /> Requestor: MIKE ELLIS, BELSHIRE ENVIRONMENTAL SERVICES, INC Telephone: (951)675-7233 <br /> Program Element: 2308-UST RETROFIT Request#: SR0079834 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Saul Gonzalez ICC Service Tech/Installer Exp. Date: 09/23/2019 <br /> Manufacturer training: Bravo, 02/20/20; INCON, 03/16/20 <br /> .a. <br /> °° OVER/fLL,INSPECTION NEESAND,COMMENTS <br /> NOTES <br /> On site to witness secondary containment testing in the Diesel piping sump.The service technician conducted a 24 hour <br /> hydrostatic equivalent testing using the INCON system with a leak rater of 0.002 for 15 minutes.Test passed. <br /> Be aware that secondary containment testing for the Diesel piping sump is required six months after the the installation of the <br /> penetration fittings.The secondary containment retest is due by June 2019. Provide 48 hour notification to EHD when this test <br /> is scheduled. <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: Saul Gonzalez, Service Technician <br /> EH Specialist: ZUNA BARKER Phone: (209) 953-7311 <br /> FA0003978 SR0079834 SC298 12/06/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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