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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#372736/2223 Date: 11/24/2021 <br /> Address: 9484 WEST LN , STOCKTON 95210 <br /> Requestor: JERRY BILLOLI,TANKNOLOGY Telephone: (209)365-1246 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084458 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Clint Furhman ICC Service Tech/Installer Exp. Date: 05/03/2023 <br /> Manufacturer training: OPW, 05/05/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the replacement of 91 tank drop tube with a shut-off valve. <br /> Verified the 91 tank does not have a ball float. <br /> Verified measurement of drop tube. Shut off is set to 93.5 percent. <br /> Verified flapper functionality. <br /> Facility is approved to receive fuel in the 91 tank. <br /> No further inspection required for service request. <br /> Report emailed to Chevron Products Company at<permitdesk@chevron.com>. <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: Report emailed to, Chevron Products <br /> EH Specialist: JOHN ALANIZ Phone: (209)616-3053 <br /> FA0004525 SR0084458 SC298 11/24/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />