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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: Verizon Business: KINGCA Date: 03/03/2022 <br /> Address: 13850 N DE VRIES RD , LODI 95240 <br /> Requestor: VANESSA ORTEGA, SUNWEST ENGINEERING CONSTRUCTORS INC Telephone: (909)536-6458 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084385 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Kraig Kinder ICC Service Tech/Installer Exp. Date: 01/22/2024 <br /> Manufacturer training: FF, 05/29/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the replacement of the diesel drop tube with shut off valve. <br /> Verified measurements and tank charts. <br /> Verified flapper functionality. <br /> Verified that there are no ball floats installed. <br /> This facility is approved to receive fuel in the diesel tank. <br /> Submit the overfill prevention equipment inspection report form to the Environmental Health Department within 30 days. <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 Vanessa Ortega, Contrac <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0003848 SR0084385 SC298 03/03/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />