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S A N J Q Q Q U IN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHEVRON STATION#94275* Date: 01/13/2021 <br /> Address: 2905 W BENJAMIN HOLT DR , STOCKTON 95207 <br /> Requestor: TONY BAIADY, WAYNE PERRY, INC. Telephone: (916)646-8680 <br /> Program Element: 2308-UST RETROFIT Request#: SR0082667 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Raymond Simms ICC Service Tech/Installer Exp. Date: 08/13/2022 <br /> Manufacturer training: VR, 09/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On-site for the following: <br /> 1. visual inspection of 87 turbine sump penetrations <br /> 2. verified the monitoring panel was not in alarm during the inspection (sump is under vacuum) <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <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 Tony Baiady, Project Man <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0003712 SR0082667 SC298 01/13/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />