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SAN JOANI Environmental Health Department <br /> COU N T Time In: <br /> Time Out: <br /> (',reotr+ess grows ho,— <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Colonial Energy CE 40135 (DBA Power Mart) Date: 02/24/2021 <br /> Address: 192 LATHROP RD, LATHROP 95330 <br /> Requestor: VICTOR HASSAN, H&S ENERGY PRODUCTS, LLC Telephone: (714) 761-5426 <br /> Program Element: 2308- UST RETROFIT Request#: SR0081688 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Anthony Reyes ICC Service Tech/Installer Exp. Date: 09/02/2022 <br /> Manufacturer training: VMI, 07/10/21; VR, 11/04/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspections: <br /> -Witnessed monitoring system verification; STP sensors, annular sensors, and UDC sensors tested - all passed <br /> -Verified leak detectors test- passed <br /> -Visual inspection of piping within the dispensers <br /> -Verified dispensers footprints contained by the UDCs, leaks from product piping drain directly to the UDCs. Leaks form filters <br /> drain to deflector plates then to UDCs. <br /> -Verified overfill prevention for E 85, new drop tube installed , drop tube measurement set at 95% tank volume. <br /> -Witnessed secondary containment testing for the E 85 STP ,87 STP , and two E 85 UDCs containment sumps-all passed. <br /> This facility is approved to operate the UST system or receive fuel. <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 tank owner or operator shall log into CERS and complete and submit a UST certification of new sensors <br /> installation.*Secondary containment testing of the product piping is required six months after installation. Provide 48 hours <br /> notification to the EHD when this is scheduled. <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: Jose A. Guzman, Project Coordinatoi <br /> EH Specialist: PAUL NSO Phone: (209) 616-3049 <br /> FA0007059 SR0081688 SC298 02/24/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />