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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greol less grows he: . . <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: KPMC MANAGEMENT INC, DBA:ARCO CHEROKEE GAS&MART Date: 07/21/2022 <br /> Address: 900 S CHEROKEE LN , LODI 95240 <br /> Requestor: JOHN BAYLIS, IEC SERVICES Telephone: (916)993-6312 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084860 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Christopher Warren Bishop ICC Service Tech/Installer Exp. Date: 09/03/2022 <br /> Manufacturer training: VR, 04/17/23; Bravo, 11/16/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection at the single product diesel dispenser: <br /> -Verification of the dispenser footprint contained by the under dispenser containment sump <br /> -Fuel filters do not drain directly into the UDC, deflector plates installed. <br /> -Visual inspection of the piping within the dispenser. <br /> -Bravo conversion frames installed <br /> This facility is approve to operate the UST system. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> sign. <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: E mail report to:Karan Pahwa, Enviro <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> SR0084860 SC298 07/21/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />