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Time In: <br /> Time Out: <br /> opQ.�tN. San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �<<FORtN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ARCO 05450 Date: 10/15/2019 <br /> Address: 1617 W FREMONT ST, STOCKTON 95203 <br /> Requestor: MERLIN BOWEN, GETTLER RYAN, INC. Telephone: (925)551-7555 <br /> Program Element: 2308-UST RETROFIT Request#: SR0081051 <br /> Inspection Type: 001 -ROUTINE INSPECTION-Operating Permit <br /> Onsite Service Technician: Elodio Sanchez Jr. ICC Service Tech/Installer Exp. Date: 07/14/2019 <br /> Manufacturer training: OPW, 10/24/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for overfill prevention device inspection for OPW 71 SO in the 87 and 91 tanks. <br /> -Verified 95%calculations with the use of the tank charts and the OPW worksheet. <br /> -Verified upper tube length. Both flappers are located for shutoff at less than 95%. <br /> -Verified functionality of the flappers. <br /> -According to the service technician ball floats were removed when the overfill prevention equipment was originally installed. <br /> 'This facility is approved for fuel delivery. <br /> NOTE- Please submit test results to EHD within 30 days of testing. <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: Elodio Sanchez Jr., service tech <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0003606 SR0081051 SCO01 10/15/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />