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ur I Environmental Health Department <br /> 41 t: SAN-6-JOAQU <br /> vii fir : C(--)LJ Y Time In: <br /> r <br /> Time Out: <br /> r'�JFOSX:, Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ORLANDOS Date: 12/07/2022 <br /> Address: 18754 E HWY 26 , LINDEN 95236 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085731 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Mike Kennard ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> -Verified corrosion protection on the diesel spill container. <br /> Additional inspections needed-refer to the approval letter dated 9/12/22. <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 Elite IV, <br /> EH Specialist: STACY RIVERA Phone: <br /> FA0007722 SR0085731 SC298 12/07/2022 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />