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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: 06/05/2024 <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: Jeramy Cummins ICC Service Tech/Installer Exp. Date: 08/15/2025 <br /> Manufacturer training: OPW, 03/06/26 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> 91 spill container test: <br /> -Verified spill container 5-gallon capacity with calibrated can. <br /> -Witnessed one-hour hydrostatic test test-Passed. <br /> -Verified drainage method via drain plug. <br /> Facility is approved to receive fuel in the 91 tank. <br /> Secondary containment testing has not yet been completed for the 91 tank. <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 06/05/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />