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Time In: <br /> Time Out: <br /> ++id.. San Joaquin County <br /> 4 sA , Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigoy.orq/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TIWANA GAS&FOOD Date: 08/10/2018 <br /> Address: 1210 E HAMMER LN , STOCKTON 95210 <br /> Requestor: MARTY WEITHMAN, SERVICE STATION SYSTEMS INC Telephone: (408)938-7103 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078906 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Eusebio Sousa ICC Service Tech/Installer Exp. Date: 07/18/2019 <br /> Manufacturer training: INCON, 01/27/20 <br /> ...w. ' d �SPECTION,NOTES AND COMMENTS . : <br /> NOTES <br /> On site to witness a 60 minute at 5 psi pressure test for the 87 product, 89 product and 91 product secondary containment line. <br /> These lines were exposed during the repairs and installation of the new primary product flexing"fireflex"flexible connectors <br /> and bravo flex boots on the 91 primary product line at dispensers 1/2 and 5/6. All passed. <br /> Also witnessed a 0.002 gallon per hour leak rate using the INCON system for 15 minutes in UDC 1/2 and 5/6. Both UDC <br /> passed. <br /> The site is allowed to operate the 89 product tank and the 87 product tank at this time. <br /> This service request is not completed, a primary tightness testing along with the the mechanical line leak detector test for the <br /> 91 product line has to be performed with passing results before the site is allowed to operate the 91 product Iine.Secondary <br /> containment testing on UDC sumps 1/2 and 5/6 and the 91 product piping is required six month after installation. Provide 48 <br /> hours notification to the EHD when this test is scheduled. <br /> Ensure tank forms are updated on CERS to show the correct information. <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: Eusebio Sousa, Service Technician <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0003730 SR0078906 SC298 08/10/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />