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SANJOAQUI Environmental Health Department <br /> f Crectness grows Frere, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SAFEWAY FUEL CENTER#1769 Date: 02/13/2024 <br /> Address: 2802 COUNTRY CLUB BLVD , STOCKTON 95204 <br /> Requestor: RYAN BROWNLEE-CONTRACTOR,ALBE MAINTENANCE INC Telephone: (707)569-4791 <br /> Program Element: 2308-UST RETROFIT Request#: SR0086810 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed dispenser, piping and stockpile sampling for piping/dispenser removal. <br /> Sampling was conducted by Scott Bittinger PG, CEM ,APTIM environmental project Manager. <br /> -Eight dispenser samples were taken one sample beneath each dispenser, 2ft into the native soil at <br /> 9.15am. Labeled DSP 1/2, DSP 3/4, DSP 5/6, DSP 7/8, DSP 9/10, DSP 11/12, DSP 13/14 and DSP 15/16. <br /> -Six piping soil samples were taken 2 ft into the native soil, labeled: PI-1, PI-2, PI-3, PI-4, PI-5 and PL6 <br /> -Four sockpile sample taken from different sides of stockpile labeled SWC 1, SWC 2, SWC 3, SWC 4. <br /> Soil Stock pile volume approximately 75 cubic yards. <br /> No noticeable discoloration was observed. <br /> Discussed sampling and analytical requirements with sampler.Verified chain of custody. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> 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: Ryan Brownlee, Con <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0012764 SR0086810 SC298 02/13/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />