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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: LOVE'S COUNTRY STORES OF CALIF#223 Date: 10/12/2022 <br /> Address: 1553 COLONY RD , RIPON 95366 <br /> Requestor: CONTACTOR-WESTERN PUMP INC,WESTERN PUMP INC Telephone: (209)599-0740 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0082925 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Cesar Ibarguen ICC Service Tech/Installer Exp. Date: 06/25/2023 <br /> Manufacturer training: FFS Incon, 06/25/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the integrity testing of diesel#1, diesel#2, and vent sump. <br /> -Witnessed testing of the three sumps with INCON. <br /> -All tests for the three sumps passed. <br /> Additional inspections are required. Please see approval letter dated 10/27/2022, 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 SR0082925 SC298 10/12/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />