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SANJI Environmental Health Department <br /> COL) NTY Time In: <br /> Time Out: <br /> rrrws Ter!. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ER Vine Stockton Date: 08/07/2020 <br /> Address: 4733 S HWY 99 , STOCKTON 95206 <br /> Requestor: BONNIE GARBER, DONLEE PUMP COMPANY Telephone: (209) 537-9396 <br /> Program Element: 2308- UST RETROFIT Request#: SR0082365 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jerry Langrell ICC Service Tech/Installer Exp. Date: 07/23/2022 <br /> Manufacturer training: OPW,08/20/20; Icon, 01/05/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections on the diesel tank: <br /> Spill container test: <br /> -Verified 5-gallon capacity <br /> -Verified proper drainage <br /> -Witnessed one hour hydrostatic test <br /> -Witnessed diesel STP sump secondary containment test <br /> All passed <br /> * EHD were not notified to verify corrosion protection for the direct bury spill container prior to backfilling. The service <br /> technician stated that the spill container exterior is non metallic. <br /> This facility is approve to receive fuel in the diesel tank. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <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: Jerry Langrell, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0003924 SR0082365 SC298 08/07/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />