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ur I Environmental Health Department <br /> 41 t: SAN-6-JOAQU <br /> vii fir : C(--)LJ Y Time In: <br /> r <br /> Time Out: <br /> r'�JFOSX:, Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: ORLANDOS Date: 02/15/2022 <br /> Address: 18754 E HWY 26 , LINDEN 95236 <br /> Requestor: DEBORAH JONES, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084287 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Adrian Rodriguez ICC Service Tech/Installer Exp. Date: 04/27/2023 <br /> Manufacturer training: OPW, 05/19/23; FF, 07/16/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> New mechanical flappers installed in all three tanks. The diesel flapper is OPW 71 SO. The 87 and 91 flapper are Franklin <br /> Fueling Defender. <br /> Verified overfill prevention equipment measurements at or below 95%. Verified functionality. <br /> NOTE:A revision is needed to the permit scope of work of work and parts list to represent the actual parts being used. <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: Emailed to service@eliteiv.com, <br /> EH Specialist: STACY RIVERA Phone: <br /> FA0007722 SR0084287 SC298 02/15/2022 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />