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ur I Environmental Health Department <br /> 41 t: SAN-6-JOAQU <br /> vii fir : C(--)LJ Y Time In: <br /> r <br /> Time Out: <br /> r'�JFOSX:, Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: PACIFIC CAR WASH/MARKETPLACE INC Date: 12/08/2020 <br /> Address: 4405 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: Telephone: (916)373-1165 <br /> Program Element: 2302-UST TEMPORARY CLOSURE Request#: SR0082286 <br /> Inspection Type: 292-UST TEMP CLOSURE INSPECTION <br /> Onsite Service Technician: Richard Walton ICC Service Tech/Installer Exp. Date: 05/16/2021 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the quarterly inspection for the temporarily closed tanks. <br /> -Verified caps are still in place. <br /> -Verified no liquids or other substances have been placed in the tanks. <br /> -Witnessed atmosphere testing of the 87 and 91 tanks. <br /> 87 tank: Lower explosive limit 0% Oxygen 8.7% <br /> 91 tank: Lower explosive limit 6% Oxygen 10.3% <br /> To minimize person to person contact EHD is choosing to write the name of the person receiving the report instead of having <br /> them sign. <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: Richard Walton, Installer/Technician <br /> EH Specialist: STACY RIVERA Phone: <br /> FA0007787 SR0082286 SC292 12/08/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />