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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: SAFEWAY FUEL CENTER#1769 Date: 04/04/2024 <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: Stephan Ingrham ICC Service Tech/Installer Exp. Date: 03/24/2026 <br /> Manufacturer training: FF, 05/24/24; VR, 07/19/24;VMI, 07/28/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> -Witnessed monitoring system functionality testing. Passed. <br /> -Witnessed the one hour hydrostatic test of the spill containment for the 87, 91, and diesel. Passed. <br /> -Witnessed leak detector testing. Passed. <br /> -Verification of overfill prevention for the product 87, 91, and diesel. Passed. <br /> This facility is APPROVED to operate. <br /> *******NOTE****** <br /> This facility annual Monitoring System Certification have been reset to April. <br /> To minimize person to person contact EHD is choosing to write the name of the pers on 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 Keith Power, Environment <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0012764 SR0086810 SC298 04/04/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />