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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: PACIFIC SERVICE STATION Date: 11/23/2021 <br /> Address: 6131 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: MOHAMMAD HUSSAINI, GREAT GAS PACIFIC INC Telephone: (510)257-6673 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083737 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Brian Roth ICC Service Tech/Installer Exp. Date: 12/02/2021 <br /> Manufacturer training: OPW, 10/21/23 <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 91 and diesel direct bury spill <br /> containers. <br /> Additional inspections required. Please see SR0083737, amended approval letter. <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 Mohammad Hussaini, Ow <br /> EH Specialist: LYDIA BAKER Phone: (209)616-3046 <br /> FA0002324 SR0083737 SC298 11/23/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />