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Time In: <br /> Time Out: <br /> .b.9LY!fY, o San Joaquin County <br /> Environmental Health Department <br /> to., X <br /> 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: EMILS LIQUOR&SPORTS SHOP* Date: 10/17/2018 <br /> Address: 1405 CALIFORNIA ST , ESCALON 95320 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0079474 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Joe Bartholdi ICC Service Tech/Installer Exp. Date: 11/17/2019 <br /> Manufacturer training: OPW, 05/05/19 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify corrosion protection for the diesel direct bury spill container prior to backfilling.The bottom of the <br /> OPW 2100 series Thread on product fill spill container along with the riser were cover with 2 inch,20 MIL pipe wrap tape to <br /> protect them from corrosion. Corrosion protection verification is completed,the spill container may be backfill at this time. <br /> This service request is NOT completed at this time.A verification of a minimum 5 gallon capacity, a one hour hydrostatic test <br /> (or equivalent)along with proper drainage, and secondary containment testing on the diesel tank must be verify in order for the <br /> facility to receive diesel. <br /> Furthermore visual inspection of the piping within the dispenser after the installation of deflector plates is still required as part <br /> of this service request. <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: Joe Bartholdi, Service technician <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0000306 SR0079474 SC298 10/17/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />