Laserfiche WebLink
°• 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: WEST LANE CHEVRON <br />Date: 07/21/2023 <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: Mark Steinhauer <br />ICC Service Tech/Installer Exp. Date: 02/11/2025 <br />Manufacturer training: OPW, 11/12/23 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the following testing on the 87, 91 and diesel tanks. <br />- Verified VPH components installed ( shroud boots and band clamps for spill containers , clamps on lids on all fill and STP <br />sumps ) <br />- Verified overfill prevention : Measurement of drop tubes set at below 95 % tank volume shut off . 87 and 91 failed <br />- Verified communication for all installed vacuum , fill, STP , vent sumps and under dispenser containment sumps ( UDCs). <br />* This facility is not approve to receive fuel or operate the UST system. <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, Own <br />Phone: (209) 616-3049 <br />FA0003719 SR0084015 SC298 07/21/2023 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />