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SAN JOAHI Environmental Health Department <br /> C U NTY Time In: <br /> Time Out: <br /> ' SS grows hojr <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHEVRON SS #372736 Date: 10/28/2019 <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: Donald W Waughn ICC Service Tech/Installer Exp. Date: 04/12/2020 <br /> Manufacturer training: Nov,03/13/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Witnessed secondary piping soap and pressure test of product, vent, and vapor recovery piping including penetrations. <br /> All Passed <br /> *Still needed. see the approval letter for a list of required inspections.* <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: Donald W Waughn, Foreman <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> SR0080446 SC298 10/28/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />