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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: YOSEMITE PETROLEUM Date: 03/22/2021 <br /> Address: 2072 W YOSEMITE AVE, MANTECA 95337 <br /> Requestor: MEGAN MITCHELL, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308- UST RETROFIT Request#: SR0081212 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michael KENNARD ICC Service Tech/Installer Exp. Date: 06/19/2021 <br /> Manufacturer training: OPW,05/23/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> Verified diesel OPW spill container corrosion protection prior to back filling, approved for back filling. <br /> This facility is not approve to receive fuel in the diesel tank. <br /> * Further inspections required see approval letter. <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: Micheal Kennard, Service Tech <br /> EH Specialist: PAUL NSO Phone: (209) 616-3049 <br /> FA0004625 SR0081212 SC298 03/22/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />