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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir- ' COUNTY— <br /> Greol less grows he: . . <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN, INC. Date: 09/12/2022 <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: Erik Wilkey ICC Service Tech/Installer Exp. Date: 01/14/2023 <br /> Manufacturer training: Xerxes, 03/04/24; OPW, 07/28/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Witnessed integrity testing of all sumps and LIDCs <br /> Facility is approved to backfill.Additional inspections are required. Please see approval letter dated February 4,2022, number <br /> 5, sections"Prior to First Fuel Delivery"and"Prior to Final Approval". Send inspection requests in writing to ust@sjgov.org with <br /> a 48-hour advanced notice noting the date, time and address and type of inspection. <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, 7-11 Cons <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0083881 SC298 09/12/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />