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SAN JOAHI Environmental Health Department <br /> C U NTY Time In: <br /> Time Out: <br /> ' SS grows hojr <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHEVRON STATION #210997* Date: 02/12/2020 <br /> Address: 1442 COLONY RD , RIPON 95366 <br /> Requestor: LIDDY MCKENZIE, GETTLER RYAN INC Telephone: (925) 551-7888 <br /> Program Element: 2308- UST RETROFIT Request#: SR0081274 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Raymond Simms ICC Service Tech/Installer Exp. Date: 06/25/2020 <br /> Manufacturer training: VR, 10/04/20; VMI, 12/10/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following <br /> -verification of the dispenser foot prints contained by the under dispenser containment(UDC) sumps and any potential leaks <br /> from piping and fuel filters. <br /> -witness Leak detector test, device can detect a leak at 3 gallons per hour at 10psi - passed <br /> -verified sensors functionality, Veeder root sensors 4209 in all UDC's, STP and fill sumps- passed <br /> -verified monitoring system (Veeder root TLS 350 )functionality- passed. <br /> This facility is approve to operate the UST system . <br /> Still needed. <br /> - Installation of deflector plates in all UDCs, Fuel filters are out of the UDC compartment cannot drain directly into UDC's. <br /> Provide 48 hours notice to EHD. <br /> - Secondary containment testing of the UDCs is required six months after installation. Provide 48hours notice to EHD when <br /> this test is schedule. <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: Donald W. Waughn, Foreman <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> FA0013918 SR0081274 SC298 02/12/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />