Laserfiche WebLink
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: United#5446 Date: 12/04/2019 <br /> Address: 1403 W COUNTRY CLUB BLVD , STOCKTON 95204 <br /> Requestor: MATT THOMAS, CGRS, INC Telephone: (626)627-8316 <br /> Program Element: 2308-UST RETROFIT Request#: SR0080777 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Garret Warren ICC Service Tech/Installer Exp. Date: 09/20/2021 <br /> Manufacturer training: OPW, 06/05/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified overfill prevention measurements for the 87 tank.Verified that the flapper was located for shutoff at less than 95%. <br /> -Verified functionality of the flappers. <br /> -Witnessed 5 gallon capacity of 87 and used oil spill containers. <br /> -Verified drainage. Passed <br /> -Witnessed 1 hour hydrostatic testing for the 87 and used oil tank spill containers. Passed <br /> -According to service technician, ball floats were not observed at this site. <br /> NOTE:According to service technical that was one site, secondary containment testing for the 87 and used oil tanks could not <br /> be performed due to the tanks being brine filled.Alarm history was printed and there were no active annular space alarms <br /> present. <br /> This facility is approved to receive fuel in the 87 tank. <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: y �v Name and Title: Garret Warren, Service Technician <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0006438 SR0080777 SC298 12/04/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />