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• Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> �.. s is• Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sogov.or_/q ehd <br /> ���FCRa <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TIWANA GAS & FOOD Date: 11/08/2017 <br /> Address: 1210 E HAMMER LN , STOCKTON 95210 <br /> Requestor: RONNIE LEWIS, NUCLEUS PUMP SERVICES Telephone: (916) 544-2868 <br /> Program Element: 2308 - UST RETROFIT Request#: SR0078130 <br /> Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Ronnie Lewis ICC Service Tech/Installer Exp. Date: 07/06/2019 <br /> Manufacturer training: VMI, 07/12/19; Incon, 09/12/19 <br /> n <br /> NOTES <br /> On site to witness testing of 87 product LD2000 line leak detector, 87 product fill spill container and secondary containment <br /> testing for UDC sumps 1/2, 5/6 and 7/8. Line leak detector, spill bucket, UDC sumps 1/2 and 5/6 passed testing. Drain valve <br /> and capacity of spill container were verified. <br /> UDC sump 7/8 failed testing. There was concrete that was removed and not yet filled in front of UDC 7/8. Site is not authorized <br /> to operate. All testing associated with this service request and all other open service requests must pass under normal <br /> operating conditions. <br /> Note: Secondary containment test was performed on UDC 3/4. Secondary line pressure test performed on all three product <br /> lines at 5 psi. These tests passed. <br /> Secondary containment testing for UDC sumps 1/2, 5/6 is required six months after installation/repair. Testing will be required <br /> by May 8, 2018. Provide 48 hours notification to the EHD when this test 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: Ronnie Lewis, Service Tech <br /> EH Specialist: CESAR RUVALCABA Phone: (209) 953-6213 <br /> FA0003730 SR0078130 SC298 11/08/2017 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />