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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: 12/20/2023 <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: Engel Molina ICC Service Tech/Installer Exp. Date: 06/23/2024 <br /> Manufacturer training: Bravo, 04/20/26 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Witnessed, bravo fill and STP(87, 91 and diesel)sumps integrity testing for one hour: <br /> 87 Fill sump @ 21 mmHg <br /> 87 STP sump @ 22mmHg <br /> 91 Fill sump @ 22mmHg <br /> 91 STP sump @ 21 mmHg <br /> Diesel Fill sump @ 22mmHg <br /> Diesel STP sump @ 22mmHg <br /> All passed <br /> This facility is not approve to receive fuel in the tanks or operate the UST system.Additional inspections are required. Please <br /> see approval letter dated June 28, 2023. Make sure to submit required inspections in writing to the ust@sjgov.org with a 48 <br /> hours advanced notice. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having 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: Name and Title: E mail report to: Raja Chandi, Owner <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> SR0083410 SC298 12/20/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />