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• Time In: <br /> Time Out: <br /> apt San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> q�l F ORa; <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: H&M - BW#98 Date: 10/06/2017 <br /> Address: 2501 JACKSON AVE, ESCALON 95320 <br /> Requestor: NICHOLAS ROWE, L C SERVICES LARRY&CLIFF ENTERPRISES INC Telephone. (559)444-1730 <br /> Program Element: 2308- UST RETROFIT Request#: SR0078174 <br /> Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Peter Westbrook ICC Service Tech/Installer Exp. Date: 07/26/2019 <br /> Manufacturer training: CSLB License, 05/31/18 <br /> OVERALL--INSPECTION NOTES AN ENTS:' <br /> NOTES <br /> On site for the following inspections: <br /> Spill container test. <br /> Verified a minimum 5-gallon capacity and verified proper drainage. The spill container passed the 1 hour hydrostatic test. <br /> Overfill prevention verification. Observed the measurement of the upper tube length and verified that the measurement would <br /> meet 95% tank volume shut off. <br /> The measurements observed provide an overfill percentage that is more stringent than 95%. <br /> Verified secondary containment testing of the Diesel Tank <br /> The secondary containment testing was a pass. <br /> Facility is approved to get fuel delivered. <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: Peter Westbrook, Service Technician <br /> EH Specialist: JOHN ALANIZ Phone: (209)468-3147 <br /> FA0003910 SR0078174 SC298 10/06/2017 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />