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S A N J Q Q Q U IN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: VAN DE POL ENT INC/PACIFIC PRIDE Date: 11/13/2023 <br /> Address: 351 N BECKMAN RD , LODI 95240 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0087297 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Benjamin Malapina ICC Service Tech/Installer Exp. Date: 06/17/2024 <br /> Manufacturer training: OPW, 06/30/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Verified the following during site inspection: <br /> -measurement of the red diesel drop tube <br /> -tank charts <br /> -calculations <br /> -no ball floats installed <br /> Submit the overfill prevention equipment inspection report to the Environmental Health Department within 30 days of testing by <br /> emailing ust@sjgov.org. <br /> To minimize person to person contact the EHD is choosing to write the name of person receiving the report instead of having <br /> them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate($162).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: Name and Title: Emailed to Carrie Miller, Contractor O <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0003773 SR0087297 SC298 11/13/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />