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SANOAQU I N Environmental Health Department <br /> COU NI T Y I Y Time In: <br /> + _,fr Time Out: <br /> . •- Greotr+ess �row3 here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: MORADA CHEVRON FAST N EASY#60* Date: 11/24/2021 <br /> Address: 10878 N HWY 99 , STOCKTON 95212 <br /> Requestor: JOHN BAYLIS, IEC SERVICES Telephone: (916)993-6312 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084431 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Chris Bishop ICC Service Tech/Installer Exp. Date: 09/03/2022 <br /> Manufacturer training: OPW, 07/17/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections on the 91 tank: <br /> Overfill prevention equipment verification: <br /> -Measurement of OPW drop tube set at 94%tank volume,verified tank charts <br /> -Verified flapper functionality <br /> -Verified ball floats, no ball floats installed. <br /> This facility is approve to receive fuel in the 91 tank <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 <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:Ashraf H Ali, nvironmenta <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0001146 SR0084431 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 />