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r I Environmental Health Department <br /> - I <br /> COUNTY— <br /> Greatness <br /> U T <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: San Joaquin General Hospital Date: 12/22/2023 <br /> Address: 500 W Hospital RD , FRENCH CAMP 95231 <br /> Requestor: ANN MARIE OR JOE, BAGLEY ENTERPRISES INC Telephone: (209)367-4800 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085779 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Eric Molgaard ICC Service Tech/Installer Exp. Date: 07/06/2025 <br /> Manufacturer training: TMS 3000 (Pneumercator), 09/14/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed line leak detector testing and sensors functionality. <br /> No cold start performed at this time. <br /> All Passed. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having <br /> them 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: E mail report to:Jesse Escotto, Facilit <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0000086 SR0085779 SC298 12/22/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />