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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: SAFEWAY FUEL CENTER#1769 Date: 03/14/2024 <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: Ryan Brownlee ICC Service Tech/Installer Exp. Date: 08/24/2025 <br /> Manufacturer training: BRAVO, 08/20/24; NOV, 07/26/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for a secondary testing. <br /> -Witnessed the start of the"lake test"for the UDCs 1/2, 3/4, 5/6, 7/8, 9/10, 11/12, 13/14, 15/16, 87 STP sump, 91 STP sump <br /> and diesel STP sump. <br /> -Secondary soap testing of the pipings and fittings of the 87, 91, diesel product. Passed. <br /> -Verification of secondary piping slope for 87, 91, diesel product piping,vent piping, and vapor recovery piping. <br /> -Verification of pipe setbacks, crossovers, and burial depth. <br /> -Verification of corrosion protection of director buried spill containers on the 87, 91, vapor, and diesel. <br /> ***Eusebio Sousa ICC: 6/26/2025; NOV 12/15/2026 <br /> This facility is NOT approved to received fuel. <br /> This facility is NOT approved to operate. <br /> ADDITIONAL INSPECTIONS ARE REQUIRED. Please see approval letter dated 1/4/2024 for a list of requirements. Submit <br /> required inspection in writing to UST@sjgov.org with a 48 hours advanced notification. <br /> To minimize person to person contact EHD is choosing to write the name of the 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: Emailed to Ryan Brownlee, Contracto <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0012764 SR0086810 SC298 03/14/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />