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SAN J O A Q U I N Environmental Health Department <br /> —COUNTY— Time In: <br /> Time Out: <br /> i�C1FaR'' GreQl tress grows her— <br /> Underground <br /> ey—Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN INC#20632 Date: 12/01/2020 <br /> Address: 4627 DAVINCI DR , STOCKTON 95207 <br /> Requestor: JAMES OTTO, LC SERVICES Telephone: (559)444-1730 <br /> Program Element: 2304-UST REMOVAL Request#: SR0081819 <br /> Inspection Type: 134-UST REMOVAL INSPECTION <br /> Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for 2 tank removals;two 10,000 gallon gasoline tanks (regular and premium). <br /> -Witnessed tank removals. No noticeable rust was observed outside the tanks and holes were not observed at the bottom of <br /> the tanks when it was removed. <br /> -Witnessed soil sampling of piping, tank pit and under dispensers. <br /> -Verified there were no signs of leakage, stains or contamination. <br /> -The piping observed were flex piping that were approximately 14ft. <br /> -Tanks pit measurements: 32ft(length)x 25ft(width)x 12ft(depth) <br /> -Pea gravel stock pile volume: approximately 250 cubic feet. There were no soil stock piles. <br /> -Tanks were cleaned and triple rinsed prior to inspection <br /> -600 pounds of dry ice was used to inert the tanks <br /> LEL : <br /> Tank 1 -87 gasoline LEL 0, oxygen 0% <br /> Tank 2-91 gasoline LEL O,oxygen 0% <br /> SAMPLING: <br /> -Sampling was conducted by Richie Winn of Stantec. <br /> -No stock pile samples were taken. The only stock pile on site was pea gravel. <br /> -Four samples was taken below the tank pit 2.5-3.5 feet into the native soil, one at each end of the tanks labeled TP-1-14.5, <br /> TP-2-14.5, TP-3-25.5, &TP-4-15.5. <br /> -Three samples was taken at the tanks piping and dispensers 4 feet into the native soil labeled D-1-4, D-2-4, & P-1-4 <br /> Verified that the city permit was obtained prior to removal. <br /> The tanks rinse was placed in one 55 gallon drum and one approximately 330 gallon container to be transported by Belshire <br /> Environmental. <br /> The tanks were hauled by West Coast Equipment in Turlock. <br /> The contractor will not be backfilling the tank pit because they are scheduled to install new underground storage tanks. <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: Name and Title: Emailed to Larry Carpenter, Contract <br /> EH Specialist: VICKY VANG-LEE Phone: (209)616-3028 <br /> FA0002541 SR0081819 SC134 12/01/2020 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />