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SANIdOAQUIN <br />-COUNTY <br />Grrarness grows here. <br />Environmental Health Department <br />Service Request Inspection Report <br />Name of Facility: LODI CHEVRON <br />Date: 06/11/2024 <br />Address: 601 E KETTLEMAN LN, LODI 95240 <br />Requestor: MARGARET SMITH, BZ MAINTENANCE <br />Telephone: (916) 371-2380 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0087856 <br />Inspection Type: 4297 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Jeff Raven <br />ICC Service Tech/Installer Exp. Date: 07/01/2025 <br />Manufacturer training: PEI RP 1200, 01/30/26 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />Witnessed secondary containment testing on the 91 underground storage tank (UST). <br />Passed <br />Submit test results to the Environmental Health Department (EHD) within 30 days of the test. Email reports to ust@sjgov.org. <br />To minimize person to person contact the EHD is choosing to write the name of 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: <br />EH Specialist <br />VICKY VANG-LEE <br />Name and Title: Margaret Smith, Contractor <br />Phone: (209) 616-3028 <br />FA0003803 SR0087856 SC4297 06/11/2024 <br />EHD Rev. 09/16/2020 Page 1 of 1 Service Request Inspection Report <br />