Laserfiche WebLink
Time In: <br /> Time Out: <br /> opQ.�tN. San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �<<FORtN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHEROKEE LANE SERVICE STATION' Date: 11/25/2019 <br /> Address: 900 S CHEROKEE LN , LODI 95240 <br /> Requestor: BZ SERVICE STATION MAINTENANCE/MVP Telephone: (916)371-2380 <br /> Program Element: 2308-UST RETROFIT Request#: SR0081125 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Steve Jones ICC Service Tech/Installer Exp. Date: 01/23/2021 <br /> Manufacturer training: OPW, 01/16/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified corrosion protection for the direct-bury diesel product spill container prior to backfilling.The bottom of the spill <br /> container along with the riser was covered with a 10 MIL pipe wrap tape. <br /> -Verified measurement of the diesel product drop tube to verify 95%tank volume shut off. Passed. <br /> ***This service request was not completed at this time. <br /> STILL NEED: <br /> a) Spill bucket test:Verify minimum 5-gallon capacity and pass a one hour hydrostatic test(or equivalent). Proper drainage <br /> must also be verified. <br /> b) Since concrete will be broken near the diesel tank, a secondary containment test must be performed on the diesel tank <br /> once concrete is poured in accordance with the manufacturer's guidelines. <br /> c) Verification of the dispenser footprints contained by the under dispenser containment sumps (UDCs). <br /> d) Visual inspection of the piping within the dispensers.. <br /> Please be aware that the facility cannot receive fuel in the diesel tank prior to the EHD inspection and approval. <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: <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)468-0216 <br /> FA0000556 SR0081125 SC298 11/25/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />