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: WINE COUNTRY STATION/7-ELEVEN Date: 09/13/2022 <br /> Address: 1111 E KETTLEMAN LN , LODI 95240 <br /> Requestor: JAMES OTTO, LC SERVICES Telephone: (559)444-1730 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085085 <br /> Inspection Type: 001 -ROUTINE INSPECTION-Operating Permit <br /> Onsite Service Technician: Timothy Hardin ICC Service Tech/Installer Exp. Date: 09/22/2023 <br /> Manufacturer training: Bravo, 06/13/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> -Verified dispensers footprints contained by the under dispenser containment sumps( UDCs)-fuel filters do not drain directly <br /> into the UDCs, deflector plates and conversion frames installed. <br /> -Verified piping within the dispensers <br /> -Cold start of the monitoring panel performed earlier today. Monitoring panel restored to normal. <br /> *Conversion of diesel tank to E85, and accessories NOT performed-Please submit service request amendment. <br /> This facility is approved to receive fuel in the diesel tank. <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: Name and Title: E mail report to: James Otto, Contrac <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0007594 SR0085085 SCO01 09/13/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />