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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: WILSON CHEVRON Date: 11/28/2023 <br /> Address: 4343 N WILSON WAY, STOCKTON 95205 <br /> Requestor: GURPARTAP SINGH,WILSON CHEVRON Telephone: (925)724-8010 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0086245 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Ariel Barrantes ICC Service Tech/Installer Exp. Date: 08/11/2025 <br /> Manufacturer training: Xerxes, 05/11/25; Bravo, 01/26/26 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed: <br /> -Brine addition in auto side fill and STP sumps <br /> -Xerxes brine type being added <br /> Viewed Kevin Ceja's Bravo certification- 1/6/2026 <br /> Additional inspections are required. Please see approval letter dated June 6, 2023 section 6 for required inspections. Provide <br /> 48-hour advanced written notice for inspections to UST@sjgov.org <br /> Facility is not approved to receive fuel in the tanks or operate the UST system. <br /> To minimize person to person contact, EHD is choosing to write the name of the person receiving the report instead of having <br /> them sign. <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 Latham Zubillaga, latham@ <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0086245 SC298 11/28/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />