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SANOAQU I N Environmental Health Department <br /> COU NI T Y I Y Time In: <br /> + _,fr Time Out: <br /> . •- Greotr+ess �row3 here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ARCO AM/PM-BP Date: 12/03/2021 <br /> Address: 2510 S HWY 99 , STOCKTON 95205 <br /> Requestor: A&S ENGINEERING/ROBERT VELASCO,A&S ENGINEERING Telephone: (661)250-9300 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0081541 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Adolf Scot Alves ICC Service Tech/Installer Exp. Date: 12/07/2022 <br /> Manufacturer training: NOV, 03/09/22; Bravo, 01/08/24; CSI, 01/15/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On-site and witnessed the following: <br /> 1. Secondary piping slope at 1/8 inch per foot or greater,to a containment sump with an audible/visual alarm, near UDCs 9-11 <br /> (truck side)and in the tank pit.Verified styrofoam blocks were removed from beneath piping. <br /> 2. Integrity testing of all fill, STP, and vent sumps. <br /> The following inspection is still needed prior to backfill: <br /> -Verification of brine type and witnessing of brine addition for all fill, STP, and vent sumps. <br /> "Additional inspections are required. Refer to the approval letter dated July 7, 2021 for a list of inspections needed, and <br /> provide a 48-hour notice by emailing ust@sjgov.org. <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. <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 John Savidge, Contractor <br /> EH Specialist: ELIANNA FLORIDO Phone: (209)616-3050 <br /> SR0081541 SC131 12/03/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />