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f MJ Q A Q I I I N Environmental Health Department <br /> COUNTY �Y <br /> Greol less grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN, INC. Date: 08/18/2022 <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: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Brandon Adams ICC Service Tech/Installer Exp. Date: 11/23/2023 <br /> Manufacturer training: NOV, 01/31/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Witnessed soap testing on secondary piping and penetrations. No bubbles observed. <br /> -Witnessed one hour pressure test on secondary piping, held for one hour. <br /> Additional inspections are required, please see approval letter dated February 4, 2022, section 5 for inspection list. Please <br /> submit all inspection requests in writing to ust@sjgov.org with a 48-hour advanced notice. <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 Crystal Justice, Construct <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0083881 SC298 08/18/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />