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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: UPS-Stockton Date: 02/06/2023 <br /> Address: 1532 N Broadway AVE , STOCKTON 95205 <br /> Requestor: SAMUEL COLGAN,ARCADIS Telephone: (984)947-3653 <br /> Program Element: 2308-UST RETROFIT Request#: SR0082977 <br /> Inspection Type: 198-UST RETROFIT REPAIR PLAN CHECK <br /> Onsite Service Technician: Henry Olvera ICC Service Tech/Installer Exp. Date: 09/16/2024 <br /> Manufacturer training: VR, 10/18/24;VMI, 03/15/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On-site for the following: <br /> -Verified 5-gallon capacity on the 87 spill container. <br /> -Verified proper drainage. <br /> -Witnessed one hour hydrostatic test—Passed <br /> -Verified measurements of the 87 overfill prevention equipment—Passed <br /> -Verified functionality of the flapper. <br /> -Witnessed a leak detector test-Passed <br /> This facility is approved to receive fuel in the gasoline tank.Note:This repair permit is not complete.Additional inspections are <br /> required. Please see approval letter dated 1/5/2023(Attached). A current OPW certification was unavailable during the <br /> inspection for the testing of the spill container and overfill prevention equipment.These tests must be conducted by a properly <br /> licensed and certified tester. Immediately provide written documentation of the OPW certification for Henry Olvera effective at <br /> the time of testing. If this documentation can't be provided,the tests today will not be accepted.All EHD staff associated with a <br /> re-inspection will be billed at the current hourly rate. <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 Samuel Colgan, Contracto <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)616-3063 <br /> FA0004051 SR0082977 SC198 02/06/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />