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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: CALIFORNIA STOP* Date: 08/22/2023 <br /> Address: 2224 MANTHEY RD , STOCKTON 95206 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0086839 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Benjamin Malaspina ICC Service Tech/Installer Exp. Date: 06/17/2024 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Verified that the dispenser footprints are contained by the under dispenser containment(UDC)sumps. <br /> Inspected piping within the dispensers. <br /> Per service technician Benjamin Malaspina,deflector plates will be installed at a later time. To better access the UDCs,the <br /> technician will install the deflector plates once all work on the dispenser has been completed. I verified that deflector plates <br /> were on site. <br /> A cold start has been scheduled on 08/24/2023 at 9am. Functionality of the monitoring system must be verified to ensure that <br /> monitoring has been restored to meet the requirements of Title 23 California Code of Regulations and the Health &Safety <br /> Code. A copy of the alarm history shall be printed prior to performing the cold start of the monitoring panel. Provide results to <br /> the EHD within 30 days of testing by emailing ust@sjgov.org. <br /> To minimize person to person contact the EHD is choosing to write the name of the person receiving the report instead of <br /> having them sign. All in office CERS help is available at an hourly rate of$162 an hour. Please call 209-468-3240 to schedule <br /> an appointment. <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 Carrie Miller, ElitelV Office <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0003679 SR0086839 SC298 08/22/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />