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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: KISHIDA, GEORGE INC Date: 08/27/2021 <br /> Address: 1725 ACKERMAN DR , LODI 95240 <br /> Requestor: EMILY CRAIN, BZ MAINTENANCE Telephone: (916)371-2380 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083924 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Rhome Desbiens ICC Service Tech/Installer Exp. Date: 12/10/2022 <br /> Manufacturer training: OPW, 05/08/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On-site to witness the replacement of the overfill prevention equipment: <br /> -verified measurement of drop tube is set to shut-off at 95%or less <br /> -verified flapper functionality <br /> -verified tank charts and calculations <br /> Per technician Rhome Desbiens, there are no ball floats installed. The tank information in CERS inaccurately reports ball <br /> floats for tank 001 and 002. During the inspection, I spoke to Kelli Kishida(owner)regarding the discrepancy. Log into CERS <br /> and update the tank information for both tanks. <br /> This site is approved to receive fuel. <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 Kelli Kishida, Owner <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0003756 SR0083924 SC298 08/27/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />