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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: FAST N EASY MART#104 Date: 06/03/2024 <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: Oscar Negrete ICC Service Tech/Installer Exp. Date: 04/07/2025 <br /> Manufacturer training: VR, 02/15/25;VMI, 08/01/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed functionality of the monitoring system testing after fuel delivery- Passed <br /> -Leak detector test- Passed <br /> Still needed for final approval <br /> -Spill container testing. <br /> Refer to the approval letter dated 04/4/2023 for additional testing. <br /> This facility is not approve to operate the UST system. <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: Email report to:Muhammad Bilal, Ow <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> SR0086111 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 />