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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: SAFEWAY FUEL CENTER#2600 Date: 09/23/2019 <br /> Address: 1987 W ELEVENTH ST , TRACY 95376 <br /> Requestor: MARTY WEITHMAN, SERVICE STATION SYSTEMS, INC. Telephone: (408)213-6038 <br /> Program Element: 2308-UST RETROFIT Request#: SR0080804 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Kris Bell ICC Service Tech/Installer Exp. Date: 07/22/2020 <br /> Manufacturer training: FF, 12/26/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified overfill measurements and calculations for the Defender Series Overfill Prevention w/flapper valve in the 87, 91, <br /> diesel tanks. The Overfill Prevention Equipments were already constructed and inside the tanks before the inspector was <br /> onsite.According to the service technician,these overfill equipments were installed last week. The Overfill Prevention <br /> Equipment for all tanks were pulled out during the service request inspection and measurements were verified. Overfill for all <br /> tanks were calculated less than 95%. <br /> -Verified the absence of ball floats.According to the service technician, the ball floats were removed because they failed when <br /> they were tested. <br /> -Verified flapper functionality for the 87, 91 and diesel product Overfill Prevention Equipment. <br /> -Verified 5 gallon capacity for the 87, 91, diesel spill containers. <br /> -Verified drainage for the 87, 91, and diesel spill containers.-Witnessed one hour hydrostatic testing of the 87, 91 and diesel <br /> spill containers. All passed. <br /> "'This facility is approved to operate. <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: kris bell, Technician <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0013503 SR0080804 SC298 09/23/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />