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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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Time In: <br /> Time Out: <br /> San Joaquin County <br /> ' Environmental Health Department <br /> Y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �' . Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: H&M-BW#98 Date: 08/06/2018 <br /> Address: 2501 E JACKSON AVE , ESCALON 95320 <br /> Requestor: MARTY WEITHMAN, SERVICE STATION SYSTEMS INC Telephone: (408)213-6038 <br /> Program Element: 2308-UST RETROFIT Request#: SR0079458 <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: <br /> fEFtOIE�rE'S;' CC�FIOMNIEt3 .v ,. ANIN WON <br /> NOTES <br /> On site to witness 60 minute hydrostatic test on the 87 product spill container.Verified 5 gallon capacity on the spill <br /> container.Verified proper drainage on the spill container. This tank is double wall with a steel primary tank and a fiberglass <br /> secondary tank. Since concrete was broken over the 87 product tank, a 7 inches of mercury for 60 minutes test was conducted <br /> to verify the integrity of the tank.All test passed <br /> This service request is completed. The facility may receive 87 product fuel at this time. <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 /> FA0003910 SR0079458 SC298 08/06/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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