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r SANJOAQUI Environmental Health Department <br /> C U N T Time In:Time Out: <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHEVRON#103 Date: 06/22/2021 <br /> Address: 8660 LOWER SACRAMENTO RD , STOCKTON 95210 <br /> Requestor: JOHN BAYLIS, IEC SERVICES Telephone: (916)993-6312 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083860 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Christopher Bishop ICC Service Tech/Installer Exp. Date: 09/03/2022 <br /> Manufacturer training: OPW, 07/17/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for an overfill prevention equipment inspection on the 91 tank. <br /> -Verified 95%calculations with the use of tank charts and OPW worksheet. <br /> -Verified upper tube length. Flapper is located for shutoff at less than 95%. <br /> -Verified functionality of the flapper. <br /> -Service technician was unable to verify the presence of ball float in the 91 tank. <br /> NOTE: This facility is approved to receive fuel in the 91 tank. This service request permit has been completed. <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: Christopher Bishop, Service Tech <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)616-3063 <br /> FA0003726 SR0083860 SC298 06/22/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />