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SAN JOAQUIN <br />COUNTY <br />. •- Greotr+ess row3 here, <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: WEST LANE CHEVRON <br />Date: 04/20/2022 <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: 131 - UST INSTALLATION INSPECTION <br />Onsite Service Technician: Timothy Hardin <br />ICC Service Tech/Installer Exp. Date: 09/22/2023 <br />Manufacturer training: Modern Welding, 02/23/24 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the installation of new underground storage tanks. <br />-20,000 gallon Modern Welding double -walled Steel/fiberglass tank <br />-12,000 gallon / 8,000 gallon Modern Welding double -walled steel/fiberglass split tank <br />-Verified UL labeling on all tanks. <br />-Inspected exterior tanks for damages. No damages observed on all tanks. <br />-Tanks inspected by the contractor on site and stated to be clean, initial vacuum at delivery 87 -22" Hg, 91- 25" Hg, diesel 23" <br />Hg and vacuum readings after 90minutes same . <br />-Verified the use of the manufacturer installation checklist at the time of inspection. Contractor on site promise to send a copy <br />EHD when completed. <br />-Verified tank pit no deadmen, bottom was leveled and foundation for the tanks 12 inches of clean pea gravel. <br />-Verified use of proper pea gravel backfill and witnessed initial backfilling with pea gravel. <br />-Contractor promised to schedule Primary Tank test according to manufacturer specification.—Additional inspections are <br />required. Refer to the approval letter dated April 18, 2022 for a list of inspections <br />needed. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them 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 mailed to:RAVINDER SINGH, Own <br />Phone: (209) 616-3049 <br />FA0003719 SR0084015 SC131 04/20/2022 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />