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Time Time Out:In: <br /> a�a gin. San Joaquin County • <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax. (209)464-0138 Web:www.si4ov.org/ehd <br /> •rel it•'At'� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: KAISER FOUNDATION-MANTECA Date: 12/05/2018 <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 /> OVERALL:INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness secondary containment testing for the diesel piping sump.Arrived on site met with Miles McCauley, <br /> assistant chief for the site,who took me to the location of the tanks.The service technician on site, Saul Gonzalez stated that <br /> the adhesive used for the penetration fittings was not dry due to the weather and that he would not be able to conduct the <br /> testing today. Rescheduled the test for 12/6/18 at 8:30am. <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: Miles McCauley, assistant Chief <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0003978 SR0079834 SC298 12/05/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />