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SAN JOAQUIN <br />U IN i y <br />. Gre�tress grows he, . . <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: WEST LANE CHEVRON <br />Date: 06/29/2023 <br />Address: 4747 WEST LN , STOCKTON 95210 <br />Requestor: JAMES OTTO, LC SERVICES <br />Telephone: (559) 444-1730 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: SR0084015 <br />Inspection Type: 298 - UST SERVICE REQUEST - FIELD ACTIVITY <br />Onsite Service Technician: Sergio Nunez <br />ICC Service Tech/Installer Exp. Date: 08/12/2023 <br />Manufacturer training: Tank Tester, 07/31/24 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for ELD testing of the 87, 91 and diesel tanks. <br />Witnessed start of ELD testing and discussed testing with technician. <br />Testing was not witnessed in its entirety. <br />Submit test results to EHD within 30 days. <br />This facility is not approve to receive fuel. <br />Additional testing required see approval letter dated April 18, 2022. <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: <br />EH Specialist: PAUL NSO <br />Name and Title: E mail Report to: Ravinder Singh, Ow <br />Phone: (209) 616-3049 <br />FA0003719 SR0084015 SC298 06/29/2023 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />