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r SANJOAQUIN <br />-I <br />COUNTY— <br />Greatness <br />U T <br />Greatness grows here, <br />Environmental Health Department <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: FAST N EASY MART #104 <br />Date: 08/18/2023 <br />Address: 16460 GOLDEN VALLEY PKWY, LATHROP 95330 <br />Requestor: MUHAMMAD BILAL, RIVER ISLAND CHEVRON <br />Telephone: (707) 486-8894 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: SR0086111 <br />Inspection Type: 298 - UST SERVICE REQUEST - FIELD ACTIVITY <br />Onsite Service Technician: Sergio Nunez <br />ICC Service Tech/Installer Exp. Date: 08/14/2025 <br />Manufacturer training: Tank Tester, 07/18/24 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site witness the start of ELD testing. <br />- Testing new install tanks ( 87, 91/diesel(split) and Bio diesel/E85 (split). <br />- Discuss testing with technician <br />Submit ELD test results to EHD within 30days. <br />* This facility is not approve to receive fuel into the new tanks, additional inspections required see approval letter dated <br />04/4/2023. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having <br />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 Mail Report to:Muhammad Bilal, Ow <br />Phone: (209) 616-3049 <br />SR0086111 SC298 08/18/2023 <br />EHD 23-01 Rev. 07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />