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SAN JOAQUI N <br />COUNTY- - <br />` Greatness grows here. <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: WEST LANE CHEVRON <br />Date: 07/22/2022 <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: Mike Lemon <br />ICC Service Tech/Installer Exp. Date: 11/23/2022 <br />Manufacturer training: Modern Welding, 02/23/24; NOV, 07/02/24 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for secondary piping soap test of piping and penetrations (product, vapor recovery, and vent): <br />- One-hour pressure test at 110% or 40 psi <br />- Secondary piping and penetration testing passed. <br />- Verification of pipe setbacks, cross -overs, and burial depth. <br />** Note: Chase pipe was not tested during the inspection. <br />***Additional inspection needed prior to backfilling. See the approval letter for more information. <br />- Integrity Testing of all sumps per manufacturer's installation instructions <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. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <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: KRISTINA SAETERN <br />Name and Title: Emailed to James Otto, Contractor <br />Phone: (209) 616-3045 <br />FA0003719 SR0084015 SC131 07/22/2022 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />