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S A N J Q Q Q U IN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: WOODBRIDGE AM PM* Date: 07/01/2021 <br /> Address: 18806 N LOWER SACRAMENTO RD ,WOODBRIDGE 95258 <br /> Requestor: LIDDY MCKENZIE, GETTLER RYAN INC Telephone: (925)551-7555 <br /> Program Element: 2308-UST RETROFIT Request#: SR0082948 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Matthew Campbell ICC Service Tech/Installer Exp. Date: 04/10/2023 <br /> Manufacturer training: Veeder-Root, 04/11/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to inspect completed replacement of 4 dispensers with conversion frames. <br /> -Verified that a leak from all product piping and associated components would fall into the UDC. <br /> -Verified correct installation of conversion frames. <br /> -Verified sensor functionality. <br /> Did not observe any leaking piping. <br /> Service request emailed to Liddy McKenzie at<liddy@grinc.com>, Merlin Bowen at<mbowen@grinc.com>and Sandesh Bola <br /> at<woodbridgeampm@yahoo.com>. <br /> NOTE: A copy of the alarm history was not printed prior to performing the cold start on the monitoring panel. Ensure that the <br /> alarm history is printed prior to future cold starts. <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: Report emailed to, Sandesh Bola <br /> EH Specialist: JOHN ALANIZ Phone: (209)616-3053 <br /> FA0003607 SR0082948 SC298 07/01/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />