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SANOAQU I N Environmental Health Department <br /> COU NI T Y I Y Time In: <br /> + _,fr Time Out: <br /> . •- Greotr+ess �row3 here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN Date: 08/06/2020 <br /> Address: 1515E MAIN ST , STOCKTON 95205 <br /> Requestor: KARLY ZACHER,TAIT& ASSOCIATES Telephone: (916)669-1830 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0081790 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Tom Sanford ICC Service Tech/Installer Exp. Date: 07/09/2021 <br /> Manufacturer training: NOV, 01/02/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following: <br /> -Witnessed secondary line testing of all product, vent,vapor recovery and chase piping for one hour.All passed. Witnessed <br /> secondary piping soap test.All passed. <br /> -Witnessed secondary containment testing for one hour for 87, 91, and diesel fill sumps and STP sumps, all UDCs, and the <br /> vent sump.All passed. <br /> *Additional inspections are needed. Refer to the approval letter dated 5/20/2020 <br /> Joseph Kinyone certifications: <br /> ICC Installation/Retrofitting 9/1/2020 <br /> Bravo 12/11/2021 <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> 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: Tom Sanford, Installer <br /> EH Specialist: CAROL PRESTO Phone: <br /> SR0081790 SC131 08/06/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />