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Time In: <br /> Time Out: <br /> �P.�•ut�!. c San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> • c... :P• Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ���FORN <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TESORO (SHELL) 68153 Date: 05/06/2019 <br /> Address: 2448 W KETTLEMAN LN , LODI 95242 <br /> Requestor: MICHAEL WALTON, WALTON ENGINEERING, INC Telephone: (916) 373-1165 <br /> Program Element: 2308- UST RETROFIT Request#: SR0079790 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jaime Jauregui ICC Service Tech/Installer Exp. Date: 09/08/2010 <br /> Manufacturer training: Franklin Fueling, 07/16/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Overfill prevention verification of drop tubes to verify 95% tank volume shut off for all three tanks. <br /> Diesel upper tube length: 51.75 in. <br /> 87 upper tube length: 51.86 in. <br /> 91 upper tube length: 51.81 in. <br /> -Verified flapper functionality of drop tubes. <br /> -Verified removal of ball float valves for all three tanks. <br /> -Witnessed 5 gallon capacity of 91 spill container. <br /> -Verified drainage. <br /> -Witnessed 1 hour hydrostatic testing for 91 spill container. Passed <br /> This facility is approved to operate. <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: Jaime Jauregui, Service Tech <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> FA0003855 SR0079790 SC298 05/06/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />