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r S � OAQUIN Environmental Health Department <br /> -COUNTY <br /> Grrarness grows here. <br /> Service Request Inspection Report <br /> Name of Facility: CHEVRON STATION#372736/2223 Date: 06/18/2025 <br /> Address: 9484 WEST LN , STOCKTON 95210 <br /> Requestor: Telephone: ()- <br /> Program Element: 2308- UST RETROFIT Request#: SR2400722 <br /> Inspection Type: 4320- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Bradley Benson ICC Service Tech/Installer Exp. Date: 3/7/2026 <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Witnessed overfill prevention via measurement of the 91 drop tubes to verify 95% tank volume shut off <br /> -Verified flapper functionality <br /> -Witnessed no ball floats to interfere with flapper valve <br /> NOTE: The service technician, Bradley Benson, did not have current OPW certifications on site. Immediately submit copies of <br /> manufacturer certifications for OPW issued on or before 6/18/2025. If this certification cannot be verified,today's testing will need <br /> to be reconducted by a properly certified tester. <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: <br /> EH Specialist: MARIA LOPEZ Phone: (209)616-3064 <br /> FA0004525 SR2400722 SC4320 06/18/2025 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />