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SANJUAQUIN Environmental Health Department <br /> —COUNTY Time In: <br /> Time Out: <br /> ilGreorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TIWANA GAS& FOOD Date: 11/22/2021 <br /> Address: 1210 E HAMMER LN , STOCKTON 95210 <br /> Requestor: JANELLE DOCKHAM, CONFIDENCE UST SERVICES Telephone: (661)631-3870 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084218 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Henry Olivera ICC Service Tech/Installer Exp. Date: 09/01/2022 <br /> Manufacturer training: OPW, 01/25/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify minimum 5-gallon capacity, proper drainage and one hour hydrostatic test for the 87 and 91 spill containers. <br /> Permit conditions have been met. Provide test results to ust@sjgov.org within 30 days. <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: Emailed to Janelle Dockham, Permit <br /> EH Specialist: LYDIA BAKER Phone: (209)616-3046 <br /> FA0003730 SR0084218 SC298 11/22/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />