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San Joaquin County R E C Em 1 SYM <br /> Environmental Health Department Ptiov Z 3 2016 <br /> :X 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.oro/eh�RVIRONMEN iAI_HEALTH <br /> IFYSRN�P <br /> PERMIT/SERVICES <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ARCO 05450 Date: 11/21/2016 <br /> Address: 1617 W FREMONT ST, STOCKTON 95203 <br /> Requestor: Telephone: (925) 551-7555 <br /> Program Element: 2308-UST RETROFIT Request#: SR0075287 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician Elodio Sanchez ICC Service Techllnstaller Exp. Date: 06/21/2018 <br /> Manufacturer training: INCON, 07/08/18 <br /> f� E5 AND COMMENTS <br /> NOTES <br /> Witnessed secondary containment testing using INCON tester for 15 minutes. <br /> 87 main STP sump-Passed. <br /> 87 main fill sump- Passed. <br /> 87 manifolded fill sump- Passed. <br /> 91 fill sump-Passed. <br /> UDC 3/4 -Passed. <br /> UDC 7/8- Passed. <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 /> G <br /> Received by: Name and Title: Elodio Sanchez, Technician <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003606 SR0075287 SC298 11/21/2016 <br /> EHD 2301 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />