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SAN <br /> I O l I I �II� Environmental Health Department <br /> CU l v <br /> Greorness grows <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Date: <br /> HARNEY LANE AM PM November 21, 2022 <br /> Facility Address: Facility Phone: Program Record: <br /> 255 E Harney Ln, Lodi, CA 95240 (209)339-2371 PR0537549 <br /> Inspection Contact: Title: Phone: <br /> Maria Nieto Store Manager (209)339-2371 <br /> Inspection Type: Program: <br /> COMPLIANCE REVIEW -Field Activity 2351 - UST FACILITY-2481 COMPLIANT <br /> Overall Inspection Comments <br /> COMMENTS <br /> On-site to witness sensor functionality testing. <br /> -According to work order#3673,the cold start was performed on 9/6/2022. <br /> -A copy of the alarm history prior to the cold start of the Veeder-Root system was not made available at the time the <br /> inspection. <br /> -An alarm history before testing was obtained today. <br /> -This test was not fully witnessed by EHD <br /> NOTE:A copy of the test report must be submitted within 30 days of the test. <br /> Technician on site: Jeff Raven <br /> ICC: 7/24/2023 <br /> VR:2/3/2024 <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: November 21, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)616-3063 <br /> Emailed to Maria Nieto, Store Manager <br /> FA0021617 PR0537549 SCO12 11/21/2022 <br /> EHD 23-01 Rev.01/20/22 Page 1 of 1 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />