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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: 04/27/2023 <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 SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Dave Winkler ICC Service Tech/Installer Exp. Date: 01/30/2024 <br /> Manufacturer training: Petro Tite, 12/14/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for a Line Leak Detection testing. <br /> -Witnessed line leak detection testing for new 87, 91, diesel piping on the auto side connecting to the new <br /> additional 6 UDCs. Passed. <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: Emailed to Jesse Diaz, Environmenta <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> FA0012659 SR0084412 SC298 04/27/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />