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r SANJOAQUI Environmental Health Department <br /> C U N T Time In:Time Out: <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: QUICK STOP MARKETS#132 Date: 10/22/2021 <br /> Address: 3555 W HAMMER LN , STOCKTON 95209 <br /> Requestor: DEBORAH JONES, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083678 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Chris Adams ICC Service Tech/Installer Exp. Date: 09/08/2023 <br /> Manufacturer training: VR, 10/13/23; Bravo, 04/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified dispenser footprints contained by the UDCs. <br /> -Verified proper location of sensors in the UDCs. <br /> -Visually inspected piping under dispensers. No leaks observed. <br /> -According to the service technician,the cold start and sensor functionality test were performed yesterday(10/21/2021).A <br /> copy of the alarm history prior and after the cold start was provided at the time of the inspection.All sensors tested passed <br /> -The conversion of the existing 89-octane tank to 87-octane has been completed. <br /> NOTE:A copy of the test report must be submitted within 30 days of the test.This service request permit has been finalized. <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 Debbie Jones, <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)616-3063 <br /> FA0002232 SR0083678 SC298 10/22/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />