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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: ARCO AM-PM MOUNTAIN HOUSE Date: 10/30/2023 <br /> Address: 18095 W GRANT LINE RD , MOUNTAIN HOUSE 95391 <br /> Requestor: ALEX G CUEVAS/RAJA CHANDI, RAJA CHANDI GROUP Telephone: (213)448-3911 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0083410 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Met with Alex Cuevas on site. Discussed inspection requirements prior to backfill. Discussed required certifications for testing. <br /> Took photos of system prior to backfill. <br /> Please refer to SR0083410 approval letter for all required inspections. Provide 48 hour notice for all scheduled inspections by <br /> emailing ust@sjgov.org. <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 report to Alex Cuevas,Archi <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> SR0083410 SC298 10/30/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />