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Time In: <br /> Time Out: <br /> oPa�tN. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> ca .... ..�;;P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> LlFOR <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: WATERLOO FOODMART Date: 03/22/2019 <br /> Address: 4315 E WATERLOO RD, STOCKTON 95215 <br /> Requestor: MEGAN MITCHELL Telephone: <br /> Program Element: 2308- UST RETROFIT Request#: SR0078796 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Dave Winkler ICC Service Tech/Installer Exp. Date: 01/21/2020 <br /> Manufacturer training: TT,03/31/20; Petro-Tite, 11/11/19; Joseph Bartholdi, 11/08/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Witnessed primary line tightness testing of the 87 and 91 product lines. Both passed. <br /> -Visual inspection of the piping under the dispensers. No leaks observed. <br /> -Verified dispenser footprint and all piping is contained within UDCs. No conversion frames or deflector plates are needed. <br /> -Witnessed brine filling of the 91 STP sump and verified proper brine usage. 87 STP sump brine filling was in progress. <br /> *The facility is NOT approved to operate. Additional testing is needed -see the approval letter for a list of required inspections <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 <br /> assessed at the current hourly rate. <br /> Received by: Name and Title: Joseph Bartholdi, Technician <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003831 SR0078796 SC298 03/22/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />