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SANJUAQUIN <br />COUNTY <br />Greorness grows here. <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: WEST LANE CHEVRON <br />Date: 07/25/2023 <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: Jesus Alvarez <br />ICC Service Tech/Installer Exp. Date: 04/28/2025 <br />Manufacturer training: OPW, 11/09/23 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On-site for the following testing on the 87 and 91 tanks: <br />-Verified overfill measurements and calculations — Both passed <br />-Verified flapper functionality- Both passed <br />Note: This facility is not approved to receive fuel or operate the UST system. Additional testing is required please see the <br />approval letter dated April 18, 2022. <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: SHEWIT WOLDEAREGAY <br />Name and Title: Emailed to Engineering Division, Con <br />Phone: (209) 616-3063 <br />FA0003719 SR0084015 SC298 07/25/2023 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />