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SANJI Environmental Health Department <br /> COL) NTY Time In: <br /> Time Out: <br /> rrrws Ter!. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHEVRON SS #372736 Date: 10/11/2019 <br /> Address: 9484 WEST LANE , STOCKTON 95210 <br /> Requestor: LIDDY MCKENZIE, GETTLER RYAN INC. Telephone: (925) 551-7555 <br /> Program Element: 2308- UST RETROFIT Request#: SR0080446 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following soil samples collected by Dan Glaze of GHD 2300 Clayton Rd 920 Concord CA 94520. <br /> At under dispenser containment(UDCs) <br /> 1) EX 7-8 2 feet of native soil <br /> 2) EX 9-10 2 feet of native soil <br /> 3) EX 11-12 2 feet of native soil <br /> 4) EX 6-5 2feet of native soil <br /> 5) EX 3-4 2 feet of native soil <br /> 6) EX 1-2 2 feet of native soil <br /> at piping <br /> 7) P1 2 feet native soil <br /> 8) P2 2feet of native soil <br /> 9) P3 2feet of native soil <br /> 10) P4 2 feet of native soil <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: Braandon Smith, Project Manager <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> SR0080446 SC298 10/11/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />