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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greol less grows he: . . <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Love's Travel Stop#538 Date: 06/22/2023 <br /> Address: 15250 N THORNTON RD , LODI 95242 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0086599 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Michael Kennard ICC Service Tech/Installer Exp. Date: 07/06/2023 <br /> Manufacturer training: NOV, 03/16/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> -Witnessed 87 fill sump vapor recovery, secondary piping and penetrations soap test and one hour pressure test at 2psi prior <br /> to back filling. <br /> All passed. <br /> Note: Since concrete was broken near the 87 tank a secondary containment test must be performed on the 87 tank once <br /> concrete is poured in accordance with manufactures guideline. Provided 48 hours notification to EHD when this test is <br /> schedule. <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($156). 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: E mail report to: Jesse Diaz, Environm <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0021886 SR0086599 SC298 06/22/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />