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S A N J Q Q Q U IN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: LOVES COUNTRY STORES OF CALIFORNIA#223 Date: 10/11/2022 <br /> Address: 1553 COLONY RD , RIPON 95366 <br /> Requestor: JAMIE BARNES, HFA Telephone: (405)687-1060 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084412 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Cesar Ibarguen ICC Service Tech/Installer Exp. Date: 09/16/2024 <br /> Manufacturer training: Xerxes, 06/01/23; NOV, 01/09/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection for UCD removal and sampling: <br /> -Witnessed soil sampling from ten UDCs removal site,two piping samples, and two dispenser&piping stockpile samples. <br /> -Witnessed all ten UDC removed. <br /> -Witnessed approximately 5ft of piping attached to the UDC was cut and removed for the 87, 91, vent, and diesel. <br /> *Note: <br /> -Sampling firm was changed to AdvancedGeo. Maxwell Niemeyer was the staff scientist who conducted the samples. <br /> Additional inspections are required. Please see approval letter dated 2/9//2022, section 5 for additional required inspections. <br /> Submit inspection requests in writing to UST@sjgov.org with a 48-hour advanced notice. <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 Cesar Ibarguen, Contractor <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0012659 SR0084412 SC298 10/11/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />