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SANJOANIN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> r'eatAess 9rpv,-. )1 c,-!- <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: A&A GAS FOOD MART Date: 01/08/2021 <br /> Address: 1330 E YOSEMITE AVE, MANTECA 95336 <br /> Requestor: EMILY CRAIN, BZ MAINTENANCE Telephone: (916) 371-2380 <br /> Program Element: 2308- UST RETROFIT Request#: SR0082633 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Vic Arneson 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 for the replacement of 87, 91 and diesel drop tubes inspection: <br /> Witnessed the replacement of the diesel tank OPW drop tube <br /> The diesel tank measurement of drop tube set at 92%tank volume shut off. <br /> -Verified flapper functionality <br /> -Verified ball float, no ball float installed in the diesel tank. <br /> This facility is approved to receive fuel in the diesel tank. <br /> *The 87 and 91 tank drop tubes still pending and not approve to receive fuel. <br /> *Amend scope of work to include the OPW drop tube for the diesel tank and not EMCO drop tube. <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: E Mailed to ghhussaini@gmail.com, <br /> EH Specialist: PAUL NSO Phone: (209) 616-3049 <br /> FA0012355 SR0082633 SC298 01/08/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />