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SANJOAQUI Environmental Health Department <br />0 j E�• x COU yam' 7 Time In: <br />f I€ l V Time Out: <br />Crectness grows Frere, <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: QUIK STOP MARKET #138 <br />Date: 12/09/2021 <br />Address: 1153 LINCOLN BLVD, TRACY 95376 <br />Requestor: DEBORAH JONES, ELITE IV CONTRACTORS <br />Telephone: (209) 461-6337 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0083686 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Joseph Bartholdi <br />ICC Service Tech/Installer Exp. Date: 04/13/2023 <br />Manufacturer training: Bravo, 04/02/22; VR, 04/19/23 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site inspection: <br />- verified both dispenser footprints contained by the under dispenser containment sumps <br />- verified piping within both dispensers <br />- witnessed sensor functionality of the two 87 STP sumps and 91 STP sump <br />- verified senor functionality of the two 87 annular sensors and 91 annual sensor <br />- received alarm history prior to cold start <br />Please ensure CERS has been updated with all current UST information. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br />sign. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <br />Inspection report emailed to: <br />Deborah Jones, dispatch@eliteiv.com <br />Marty Hilfinger, MHilfinger@cumberlandfarms.com <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: <br />EH Specialist: CAROL PRESTO <br />Name and Title: Emailed to Deborah Jones, dispatch@ <br />Phone: (209) 616-3061 <br />FA0003122 SR0083686 SC298 12/09/2021 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />