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pully <br /> SAN _ Q AQ Q N Environmental Health Department <br /> COU NTY— <br /> o �lr Greatness prows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> Tesoro (Speedway)#68151 10/20/2023 <br /> ADDRESS:35 N Cherokee Ln CITY:Lodi ZIP CODE:95240 <br /> OWNER/OPERATOR:Speedway LLC TELEPHONE#: <br /> TYPE OF INSPECTION: ❑ COMPLAINT ❑ CONSULTATION W OTHER PROGRAM 2308 RECORD SR0087243 <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> Secondary containment test for under dispenser containment(UDC) sumps on dispenser 3/4 on service request number <br /> SR0087243, approval letter date October 5, 2023 <br /> OBSERVATIONS/COMMENTS: <br /> On site for the following: <br /> -Witnessed secondary containment test on dispenser 3/4 UDC. UDC 3/4 passed. <br /> Facility is approved to receive fuel and operate 87 UST system. <br /> Technician Certs: Anthony Reyes - ICC 8/12/2024, Omnitec 1/6/2025, Bravo 11/19/2024 <br /> CORRECTIVE ACTIONS: <br /> Ensure test results are submitted to EHD within 30 days. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report <br /> instead of having them sign. <br /> CORRECT BY: <br /> INSPECTED BY:Carol Presto <br /> RECEIVED BY:emailed to Tom Sanford (tom.s@waltonengineering.com) DATE: 10/20/2023 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> EHD 48-05 Rev.05/21/18 INSPECTION REPORT <br />