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SAN <br /> ,,J OAO U IN <br /> Environmental Health Department <br /> r <br /> COUNTY <br /> C r'r't:f 0Ogt gr4�WS here, <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Date: <br /> KETTLEMAN CHEVRON January 29, 2024 <br /> Facility Address: Facility Phone: Program Record: <br /> 601 E KETTLEMAN LN, LODI, CA 95240 (530)391-1352 PR0231348 <br /> Inspection Contact: Title: Phone: <br /> Ricky Singh Environmental Contact (916)524-2040 <br /> Inspection Type: Program: <br /> COMPLIANCE REVIEW -Field Activity 2361 - UST FACILITY <br /> Overall Inspection Comments <br /> COMMENTS <br /> On site for triennial secondary containment testing.Witnessed the start of secondary containment testing on the 91 tank and <br /> the east 87 tank; including track annular testing, pipe sump testing and secondary pipe testing.All necessary equipment on <br /> site and okay. Jeramy Cummins is the certified technician. <br /> ICC Service Tech: 08/15/2025 <br /> I N CO N: 03/08/2024 <br /> PEI 1200: 05/14/2024 <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: January 29, 2024 Inspector: Inspector Phone: <br /> Printed Name and Title: ALBERTO FERNANDEZ, EH Specialist (209)616-3037 <br /> Emailed to dilniwazsingh@gmail.com, Environmental Contac <br /> FA0003803 PR0231348 SCO12 01/29/2024 <br /> EHD 23-01 Rev.01/20/22 Page 1 of 1 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />