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SANJUAQUIN Environmental Health Department <br /> —COUNTY Time In: <br /> Time Out: <br /> ilGreorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Pilot Travel Center Lathrop- 1017 Date: 09/17/2021 <br /> Address: 345 Roth RD , FRENCH CAMP 95231 <br /> Requestor: JONES COVEY GROUP INC,JONES COVEY GROUP INC Telephone: (951)463-2800 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084173 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Shawn Rodriguez ICC Service Tech/Installer Exp. Date: 11/13/2022 <br /> Manufacturer training: OPW, 08/11/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following 87 tank-1 drop tube inspection: <br /> -Verified measurement of drop tube set at 94%tank volume <br /> -Verified flapper functionality <br /> -Verified ball floats, Service technician stated that no ball floats installed. <br /> This facility is approve to receive fuel in the 87 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: E mailed to: Joey Cupp, Environment <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0023459 SR0084173 SC298 09/17/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />