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SAN J O A Q U I N Environmental Health Department <br /> COUNTY— <br /> �c GreQl tress grows her— <br /> Underground <br /> ey—Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: FLYING J TRAVEL PLAZA#618* Date: 04/06/2023 <br /> Address: 1501 N JACK TONE RD , RIPON 95366 <br /> Requestor: ROB SILLS, JONES COVEY GROUP, INC Telephone: (714)975-4257 <br /> Program Element: 2308-UST RETROFIT Request#: SR0086130 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Shawn Rodriguez ICC Service Tech/Installer Exp. Date: 11/19/2024 <br /> Manufacturer training: VR, 02/06/25; INCON, 12/06/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for a service request for the BRAVO retrofit entry kits for product and vapor lines inside under dispenser containment <br /> (UDC) 14/15 and testing of 87 (T-4), 91 (T-5), and diesel (T-1)STP sumps.The following was observed during the time of <br /> inspection: <br /> -Witnessed hydrostatic test on the 14/15 UDC sump with INCON. Passed. <br /> -Witnessed secondary containment testing performed on 87(T-4), 91 (T-5), and diesel (T-1)STP sumps. Passed. <br /> -Witnessed secondary containment testing performed on Auto Deisel (T-6). Passed. <br /> * Notes: <br /> -A secondary containment test must be performed on the piping.Testing was performed however the technician did not have <br /> the certification. <br /> -The auto diesel (T-6)STP sump was tested however an amended Service Request and approval letter is required for the T6 <br /> Auto Diesel annular riser pipe replacement. <br /> Submit test results to ust@sjgov.org within 30 days of testing.All UST appointments must be given a 48 hours notice. <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 Rob Sills, Contractor <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0006672 SR0086130 SC298 04/06/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />