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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, INC. Date: 04/01/2022 <br /> Address: 3379 N TRACY BLVD , TRACY 95376 <br /> Requestor: ATTN: GASOLINE COMPLIANCE, 7-ELEVEN INC Telephone: (916)742-0232 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0083881 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Dale Adams ICC Service Tech/Installer Exp. Date: 03/04/2023 <br /> Manufacturer training: Xerxes, 08/01/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for installation of new Underground Storage Tanks(USTs): <br /> -Regular Grade 20,000 gallon double walled Xerxes fiberglass tank <br /> -Split Premium Grade 8,000 gallon (end)double walled Xerxes fiberglass tank/Diesel Grade 12,000 gallon (base)double <br /> walled Xerxes fiberglass tank <br /> - Inspected tanks for leaks. No leaks observed on 20,000 gallon double walled tank. Leak at the bottom of split tank on the <br /> 8,000 gallon tank side was observed by contractor <br /> - Inside of standalone and split tanks were inspected by contractor and reported to be dry and brine free <br /> -Verified use of manufacturer installation checklist <br /> -Verified presence of deadmen and anchor straps <br /> -Verified proper pea gravel backfill <br /> -Witnessed tank set of the 20,000 gallon tank <br /> -Verified 20,000 gallon tank orientation matches approved plans <br /> -Witnessed application of corrosion protection on the 20,000 gallon tank metal anchor components. <br /> - Ignacio Aguilar with Fiberglass Unlimited arrived on site to repair the the 8,000 gallon/12,000 gallon split tank. Spoke with <br /> Fiberglass Unlimited owner Chris who stated that they do not have individual certificates from Xerxes to conduct repairs on <br /> Xerxes tanks but rather the company itself is certified. Was conference called in with Alex Kandathil, Field Service Coordinator <br /> with Xerxes to verify that they are approved to conduct repairs. Spoke with Alex received verbal confirmation that Fiberglass <br /> Unlimited are certified to conduct repairs to the Xerxes tank. Discussed with Alex that we need verification in writing after <br /> repair that the tank has been inspected and approved by Xerxes to be installed and is suitable for continued use. <br /> -Discussed with Dale Adams, Supervisor with contractor Wilkey's Construction that the tanks are not approved to be set in the <br /> ground until approval from Xerxes has been received. <br /> The 8,000 gallon/12,000 gallon split tank is not approved to be set in the ground until written approval is received from Xerxes. <br /> Backfill for both 20,000 gallon and 8,000 gallon/12,000 gallon tanks are not approved until the split tank has been set. <br /> Please see permit approval letter dated February 4, 2022(SR0083881)for additional information and inspections required. <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: Emailed to Dale Adams, Supervisor, <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0083881 SC131 04/01/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />