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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: United#5446 Date: 12/02/2021 <br /> Address: 1403 W COUNTRY CLUB BLVD , STOCKTON 95204 <br /> Requestor: ROSS MCLAREN, RM FUEL SYSTEMS Telephone: (805)710-2006 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083729 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Ross McLaren ICC Service Tech/Installer Exp. Date: 06/26/2022 <br /> Manufacturer training: VR, 06/19/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify sensor functionality: passed. Verified alarm history printed prior to cold start. Verified dispenser footprint <br /> contained by the under dispenser containment sump. Visual inspection of the piping within the dispensers. No leaks <br /> observed. <br /> Permit conditions have been met. Submit 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 Ross McLaren, Contracto <br /> EH Specialist: LYDIA BAKER Phone: (209)616-3046 <br /> FA0006438 SR0083729 SC298 12/02/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />