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SAN JOAOUIN <br />COUNTY <br />Greotr+ess grows 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: 08/18/2023 <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: 298 - UST SERVICE REQUEST - FIELD ACTIVITY <br />Onsite Service Technician: Tony Reyes <br />ICC Service Tech/Installer Exp. Date: 08/12/2024 <br />Manufacturer training: NOV, 01/27/26; OPW, 04/13/25; BRAVO, 11/19/2024; VR, 12/02/24 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for prior to first fuel delivery inspections: <br />- Verified the leak monitoring communication for installed vacuum. <br />- Verified the dispenser footprints. Deflector plates are installed on all UDCs. <br />- Verified liquid and vapor tightness component installations. <br />- Witnessed Spill Container test. One-hour hydrostatic test conducted. <br />- Witnessed monitoring system functionally of liquid sensors and vacuum sensors. <br />Passed testings. <br />Facility is NOT approved to receive fuel. <br />Facility is NOT approved to operate. <br />Additional inspections are required. Refer to the permit approval letter dated December 21, 2021 for additional inspections <br />needed and provide a 48 -hours notice by emailing the 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: <br />EH Specialist: KRISTINA SAETERN <br />Name and Title: Emailed to Richard Walton, Contracto <br />Phone: (209) 616-3045 <br />SR0083413 SC298 08/18/2023 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />