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Time In: <br /> Time Out: <br /> San Joaquin County <br /> Environmental Health Department <br /> "6 So 1868 East Hazelton Avenue , Stockton , CA95205-6232 <br /> '�., Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www, sjgov. org/ehd <br /> qG] ji O'Rt� <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: UNITED # 5447 Date : 03/05/2019 <br /> Address : 1469 E HAMMER LN , STOCKTON 95210 <br /> Requestor : MATT THOMAS , CGRS INC Telephone: (626 ) 627-8316 <br /> Program Element : 2308 One UST RETROFIT Request #: SR0079662 <br /> Inspection Type: 298 . UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician Leonardo Rangel ICC Service Tech/Installer Exp , Date : 07/22/2019 <br /> Manufacturer training : OPW , 03/14/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> ;r11� 2 8 2019 <br /> Witnessed one hour hydrostatic testing of the 91 direct-bury spill bucket . Passed . <br /> Verified 5 gallon capacity. <br /> Verified drainage. ENV"r' OMM <br /> N7gL HEALTH <br /> DEPARTMENT <br /> Verified installation of deflector plates and containment of all pipes within UDC and deflector plates. <br /> Per technician , the annular sensors were rewired , but not replaced . <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: Leonardo Rangel , Technician <br /> EH Specialist: STACY RIVERA Phone : ON (209) 468-3440 <br /> FA0001570 SR0079662 SC298 03/05/2019 <br /> EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />