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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: 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, JONES COVEY GROUP INC Telephone: (714)975-4257 <br /> Program Element: 2309-UST RETROFIT-Minor Plan Check Request#: SR0086196 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Arturo Perez ICC Service Tech/Installer Exp. Date: 10/17/2024 <br /> Manufacturer training: VR, 09/11/23; INCON, 09/01/23; Bravo, 09/17/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for a repair dispenser#26 after vehicle impact.The following was observed during the time of inspection: <br /> -Verification of the dispenser footprints and conducted visual inspection of inside and outside the UDC#26 and#26 satellite <br /> -Witnessed sensors functionality for the UDC#26 and#26 satellite <br /> -Witnessed integrity testing for#26 UDC sump. Passed. <br /> ****Notes: <br /> Following Inspections are needed due to the technician did not have certification. Please see the Approval Letter dated <br /> February 22, 2023 for more details <br /> -Primary piping test diesel product and satellite pipe <br /> -Secondary piping test of the diesel product and satellite pipe <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 SR0086196 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 />