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SAN JOANIN <br />COU CITY <br />(',reotr+ess grows ho,— <br />Environmental Health Department <br />Time In: <br />Time Out: <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: A&A GAS FOOD MART <br />Date: 12/28/2020 <br />Address: 1330 E YOSEMITE AVE, MANTECA 95336 <br />Requestor: EMILY CRAIN, BZ MAINTENANCE <br />Telephone: (916) 371-2380 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0082633 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Vic Arneson <br />ICC Service Tech/Installer Exp. Date: 12/07/2022 <br />Manufacturer training: OPW, 09/10/21 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to witness the replacement of 87, 91 and diesel gasoline tanks drop tubes with EMCO Wheaton retail A1100 Guardian <br />overfill prevention valves. This request was not conducted. <br />The service Technician Verified the following <br />- The diesel tank had ATG, OPW flapper valve drop tube no ball float <br />- The 91 and 87 tanks had ATGs, ball floats and straight drop tubes with no flapper valves. <br />Service technician preferred to verify measurements and stated that the diesel tank drop tube was a fail the 91 and 87 tanks <br />was a pass. No tank charts were on site for verification when asked about tank charts the service techician stated that they <br />were at the shop. <br />* This facility is not approve to receive fuel in the 87, 91 and diesel tanks prior to EHD inspection and approval. The request to <br />replace drop tubes was not performed. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them 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: <br />EH Specialist: PAUL NSO <br />Name and Title: Rasool Hussaini, Manager <br />Phone: (209) 616-3049 <br />FA0012355 SR0082633 SC298 12/28/2020 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />