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S NJOAQ IN (Environmental Health Department <br /> U:K.- ---G U N T w- <br /> -�tir. <br /> Greotnrss yrosrc fir•- <br /> Service Request Inspection Report <br /> Name of Facility: TEICHERT4 Date: 12/05/2025 <br /> Address: 120 FRANK WEST CIR, STOCKTON 9520E <br /> Requestor: CHRISTINA TRAN Telephone: (408)213-6039 <br /> Program Element: 2308- UST RETROFIT Request#: SR2501542 <br /> Inspection Type: 4320-UST RETROFIT REPAIR INSPEC-. <br /> Onsite Service Technician: Kristopher Bell ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: Universal Valve, 10/09/28 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Verified waste oil overfill valve installation. <br /> -Verified measurement of waste oil valve to ensure shut off at less than 95%capacity. <br /> -Verified float functionality. <br /> -Verified pertinent tank charts and calculations were available for review at the time of inspection. <br /> -Verified no ball floats were located in the waste oil tank. <br /> The facility is approved to operate the waste oil tank. <br /> *NOTE:According the the Universal Valve installation instructions,all fills are required to be done through a wire mesh screen to <br /> keep out contaminants. Contact Universal Valve for details. <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 b.-assessed at the current hourly rate. <br /> Received by: Name and Title: NicArmstrono: Compliance Manager <br /> EH Specialist: ALLEN ASIO Z Phone: 209 616-3031 <br /> FA0012107 SR2501542 SC4320 12/05/2025 <br />,, EHD Rev.0911 612 02 0 Page 1 of 1 Service Request Inspection Report <br />