Laserfiche WebLink
Time In: <br /> Time Out: <br /> opQ.�tN. San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �<<FORtN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: KWIK SERV LODI BW 113* Date: 01/27/2020 <br /> Address: 420 W KETTLEMAN LN , LODI 95240 <br /> Requestor: MARTY WEITHMAN, SERVICE STATION SYSTEMS, INC Telephone: (408)213-6038 <br /> Program Element: 2308-UST RETROFIT Request#: SR0081353 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: OPW ICC Service Tech/Installer Exp. Date: 09/02/2020 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> -Verified corrosion protection for the 87 and diesel direct bury containers. <br /> NOTE: This service request was not completed at this time. Please be aware that the facility cannot receive fuel in the diesel <br /> and 87 tanks prior to the EHD inspection and approval. <br /> NEEDED: <br /> -Spill container test:verify minimum 5-gallon capacity and pass a one hour hydrostatic test(or equivalent). <br /> -Verification of proper drainage <br /> -Secondary containment test on the 87 and diesel tanks <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: John Rodriguez, Service technition <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0003776 SR0081353 SC298 01/27/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />