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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> rT�z wti COUNTY Time In: <br /> Time Out: <br /> Greotr+ess �rGws here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: FLYING J TRAVEL PLAZA#617 Date: 08/10/2021 <br /> Address: 15237 N Thornton RD , LODI 95242 <br /> Requestor: JONES COVEY GROUP, INC., JONES COVEY GROUP, INC. Telephone: (888)972-7581 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083858 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jose Ochoa ICC Service Tech/Installer Exp. Date: 10/28/2021 <br /> Manufacturer training: FF, 08/02/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to: <br /> -Witness overfill prevention installation in 87(tank#4)and 91 (tank#5). Franklin Fueling drop tubes set at 95%tank volume <br /> shut off. <br /> -Verify flapper functionality. <br /> -Verify no ball floats are installed. <br /> This facility is approved to receive fuel in the 87 and 91 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: Jose Ochoa, Service Technician <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0012979 SR0083858 SC298 08/10/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />