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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: FAST N EASY MART#104 Date: 04/07/2023 <br /> Address: 16460 GOLDEN VALLEY PKWY, LATHROP 95330 <br /> Requestor: MUHAMMAD BILAL, RIVER ISLAND CHEVRON Telephone: (707)486-8894 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0086111 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Adolf(Scot)Alves ICC Service Tech/Installer Exp. Date: 12/02/2024 <br /> Manufacturer training: CSI, 07/23/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On-site to witness primary tank testing on the following tanks: <br /> •20,000-gallon 87 tank-Passed <br /> •10,000-gallon 91 tank-Passed <br /> •10,000-gallon diesel tank-Passed <br /> •10,000-gallon E85 tank-Passed <br /> •10,000-gallon diesel tank-Passed <br /> 'Additional inspections are required. Please see the approval letter dated 4/4/2023.This facility is not approved to operate or <br /> receive fuel in the UST system. <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 Adolf(Scot)Alves, Contra <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)616-3063 <br /> SR0086111 SC298 04/07/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />