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SAN JOAQUIN <br />COUNTY <br />. •- Greotr+ess row3 here, <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: 4600 S CORRAL HOLLOW RD <br />Date: 05/24/2022 <br />Address: 4600 S CORRAL HOLLOW RD, TRACY 95377 <br />Requestor: SARAH JABLONSKY - CONSTRUCTION MANAGER, WALTON ENGINEER <br />Telephone: (916) 373-1165 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: SR0083413 <br />Inspection Type: 131 - UST INSTALLATION INSPECTION <br />Onsite Service Technician: David Delgado <br />ICC Service Tech/Installer Exp. Date: 09/18/2022 <br />Manufacturer training: NOV, 01/02/23 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site inspection: <br />- Witnessed primary piping and penetration soap test, no leaks observed <br />- Witnessed 1 hour pneumatic pressure test <br />Additional inspections are required. Please refer to approval letter dated December 15, 2021 Section 3 for additional required <br />inspections. Submit all inspection requests via email to ust@sjgov.org with 48-hour advance notice. <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: <br />EH Specialist: CAROL PRESTO <br />Name and Title: Emailed to Sarah Jablonsky, Constru <br />Phone: (209)616-3061 <br />SR0083413 SC131 05/24/2022 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />