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r I Environmental Health Department <br /> - I <br /> COUNTY— <br /> Greatness <br /> U T <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: WEST LANE FUEL Date: 10/02/2023 <br /> Address: 3300 N WEST LN , STOCKTON 95204 <br /> Requestor: CARRIE MILLER, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0086840 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Michael Kennard ICC Service Tech/Installer Exp. Date: 07/06/2023 <br /> Manufacturer training: Bravo, 06/17/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Verified dispenser footprints contained by the under dispenser containment sumps(UDCs),fuel filters do not drain directly <br /> into the UDCs-conversion frames and deflectors plates installed. <br /> -Visual inspection of piping within the dispensers. <br /> *Service technician stated that cold start was not performed because it was not necessary.According to service technician <br /> monitoring panel (VR TLS350 plus)software was up-to-date and on normal operational condition. <br /> This facility is approve to operate the UST system. <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: Carlo Sharmoug, Ow <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0003847 SR0086840 SC298 10/02/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />