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r SANJOAQUI Environmental Health Department <br /> C U N T Time In:Time Out: <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: MORADA CHEVRON FAST N EASY#60* Date: 07/23/2021 <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#: SR0083862 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Christopher Bishop ICC Service Tech/Installer Exp. Date: 04/20/2023 <br /> Manufacturer training: OPW, 07/17/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> Direct bury 91 Spill Container test: <br /> -Verified 5 gallon capacity <br /> -Verified proper drainage <br /> -Witnessed one hour hydrostatic test-Passed <br /> This facility is approve to receive fuel in the 91 tank <br /> *Additional inspection required 3C see approval letter dated June 22, 2021. <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: Muhammad Bilal, Owner <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0001146 SR0083862 SC298 07/23/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />