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���iFoaa�v <br />Underground <br />Time In: <br />Time Out: <br />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.sigov.orcl/ehd <br />Storage Tank Program Service Request Inspection Report <br />Name of Facility: CHEVRON #208117*" <br />Date: 03/29/2018 <br />Address: 755 S TRACY BLVD, TRACY 95376 <br />Requestor: LIDDY MCKENZIE, GETTLER RYAN INC <br />Telephone: <br />(925) 551-7555 <br />Program Element: 2308 - UST RETROFIT <br />Request #: <br />SR0078631 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Brian Gan <br />ICC Service Techllnstaller Exp. Date: <br />10/19/2018 <br />Manufacturer training: ICC installer/retrofit, 02/07/19; NOV, 12/01/19; Incon, 09/09/18 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to observe and verify secondary piping soap test and hydrostatic testing on all 6 UDCs with associated impacted <br />piping. Secondary piping soap test passed. The 87 product line was held at 5.5 psi and the 91 product line was held at 6 psi for <br />one hour and the test passed. Verification of the pressure was observed at the farthest UDC and at the shrader valves on the <br />secondary test boot in the 87 and 91 STP sumps. The hydrostatic testing for all the UDC sumps were tested using Incon held <br />for 15 mins. The test passed. <br />Additional inspections are still required before facility can operate the underground storage tanks. <br />Note: a non hazardous manifest was submitted to EHD during inspection for the removal of old UDCs and associated piping. <br />Provide lab analytical/determination for disposal before final inspection. <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 />A-- T, Z �__ <br />Received by: <br />EH Specialist: BETTY HO <br />EHD 23-01 Rev. 06/30/15 <br />Name and Title: Brian Gan, Site Foreman <br />Phone: (209) 468-3455 <br />FA0007938 SR0078631 SC298 03/29/2018 <br />Page 1 Of 1 Underground Storage Tank Program Service Request Inspection Report <br />