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SAN JOAOUIN <br />COUNTY <br />Greotr+ess grows here. <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: MOUNTAIN HOUSE CHEVRON <br />Date: 07/03/2023 <br />Address: 1124 INTERNATIONAL PKWY, TRACY 95377 <br />Requestor: MR MUTHANA IBRAHIM, M I ARCHITECTS, INC. <br />Telephone: (925) 287-1174 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: SR0084001 <br />Inspection Type: 298 - UST SERVICE REQUEST - FIELD ACTIVITY <br />Onsite Service Technician: Michael Spring <br />ICC Service Tech/Installer Exp. Date: 11/14/2024 <br />Manufacturer training: VMI, 01/01/24 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />-Witnessed 87, 91, and diesel leak detector testing at 3 GPH at 10 PSI. All passed. <br />-Verified designated operator training record for training conducted 7/1/23. <br />-As-built plans and tank installation checklists were provided by the contractor at the time of inspection. <br />Facility is approved to receive fuel. <br />Facility is NOT approved to operate. <br />Refer to the approval letter dated 8/2/23. <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: STACY RIVERA <br />Name and Title: Emailed to Miguel Ceja, Contractor <br />Phone: (209) 616-3043 <br />SR0084001 SC298 07/03/2023 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />