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r I Environmental Health Department <br /> - I <br /> COUNTY— <br /> Greatness <br /> U T <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: LODI CHEVRON Date: 06/03/2024 <br /> Address: 601 E KETTLEMAN LN , LODI 95240 <br /> Requestor: MARGARET SMITH, BZ MAINTENANCE Telephone: (916)371-2380 <br /> Program Element: 2308-UST RETROFIT Request#: SR0087856 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Nicholas Yoder ICC Service Tech/Installer Exp. Date: 01/16/2026 <br /> Manufacturer training: ICC Installer, 08/21/25; OPW, 11/08/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Verified absence of ball floats in all four tanks (87-1, 87-2, 91, and Diesel) <br /> Verified corrosion protection tape on riser and spill container of 91 tank prior to backfill. <br /> Verified measurement of drop tube to verify 95%tank volume shut off. <br /> The facility is NOT approved to receive fuel in the 91 tank, pending completion of inspections. <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. <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 Margaret Smith, Contracto <br /> EH Specialist: MATTHEW WON Phone: (209)616-3029 <br /> FA0003803 SR0087856 SC298 06/03/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />