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INSTALL_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOLDEN VALLEY
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16460
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2300 - Underground Storage Tank Program
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PR0548366
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INSTALL_2024
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Entry Properties
Last modified
11/4/2024 2:15:52 PM
Creation date
5/13/2024 9:40:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2024
RECORD_ID
PR0548366
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0027617
FACILITY_NAME
FAST N EASY MART #104
STREET_NUMBER
16460
STREET_NAME
GOLDEN VALLEY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
19204047
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
16460 GOLDEN VALLEY PKWY LATHROP 95330
Tags
EHD - Public
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SANJOAQUI Environmental Health Department <br /> f Crectness grows Frere, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: FAST N EASY MART#104 Date: 05/16/2024 <br /> Address: 16460 GOLDEN VALLEY PKWY, LATHROP 95330 <br /> Requestor: MUHAMMAD BILAL, RIVER ISLAND CHEVRON Telephone: (707)486-8894 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0086111 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Brian Lewellen ICC Service Tech/Installer Exp. Date: 11/17/2025 <br /> Manufacturer training: OPW, 02/03/25;VR, 01/23/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed the following inspection before fuel delivery: <br /> -Witnessed monitoring system functionality testing of all sensors . <br /> -Witnessed spill container test: one hour hydrostatic test, verified drainage and 5 gallon capacity <br /> -Verified communication (vacuum )in UDCs, vent,fill and STP sumps and at end point of each vacuum zones <br /> -Verified dispenser footprints contained by the UDC's,fuel filters drain into UDCs. <br /> -Verified VPH components installations(Shroud boots, band clamps for spill containers, rubber gaskets on lids) <br /> -Verified overfill protection equipment-measurement of drop tubes set at below 95%. <br /> All passed. <br /> *This facility not approve to receive fuel. <br /> *Provide compatibility for all monitoring system components with the substance stored ( Biodiesel 20 and E85).**Refer to the <br /> approval letter dated April 4, 2023 for additional paperwork and inspections needed. <br /> To minimize person to person contact 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: Name and Title: E mail report to:Muhammad Bilal, Op <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> SR0086111 SC298 05/16/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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