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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: HARNEY LANE AM PM <br />Date: 07/06/2021 <br />Address: 255 E Harney LN , LODI 95240 <br />Requestor: EMILY CRAIN, BZ MAINTENANCE <br />Telephone: (916) 371-2380 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0083903 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Rhome Desbiens <br />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 for the following: <br />-verified measurements for the 87 (2), 91, and diesel drop tubes are set at/below 95% tank volume shut-off <br />-verified flapper functionality <br />-verified tank charts and calculations <br />-verified no additional ball floats were installed <br />The 87, 91, and diesel underground storage tanks (USTs) are approved to receive fuel. The 87 spill container (west container <br />near Stockton St) needs to be replaced. Per service technician Rhome Desbiens, the fill pipe will be capped and a new (like <br />for like) spill container will be installed at a later time. A service request guidance is attached for your reference regarding <br />permit requirements. <br />Log into CERS and ensure that all information is accurate (including overfill prevention information). <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 will be provided at EHD hourly rate ($152). To schedule an appointment, <br />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: <br />EH Specialist: VICKY VANG-LEE <br />Name and Title: Emailed to Emily Crain, Contractor <br />Phone: (209) 616-3028 <br />FA0021617 SR0083903 SC298 07/06/2021 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />