Laserfiche WebLink
S A N J Q Q Q U IN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: H&S ENERGY#3081 Date: 07/14/2023 <br /> Address: 6633 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: SARAH JABLONSKY-CONSTRUCTION MANAGER,WALTON ENGINEER Telephone: <br /> Program Element: 2308-UST RETROFIT Request#: SR0086806 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: David Delgado ICC Service Tech/Installer Exp. Date: 11/15/2023 <br /> Manufacturer training: Incon, 10/13/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On-site to witness hydrostatic testing on the 7/8, 9/10, and 11/12 under dispenser containment sumps. <br /> All components tested passed. <br /> Submit test results to the Environmental Health Department 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. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($162). To schedule an <br /> appointment, please call (209)468-3420. <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 Sarah Jablonskly, Contrac <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0003834 SR0086806 SC298 07/14/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />