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INSTALL_2022
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2300 - Underground Storage Tank Program
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INSTALL_2022
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Last modified
1/23/2023 11:37:08 AM
Creation date
9/6/2022 3:22:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2022
RECORD_ID
PR0547873
PE
2361
FACILITY_ID
FA0000794
FACILITY_NAME
7-ELEVEN INC # 41530
STREET_NUMBER
1110
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21821023
CURRENT_STATUS
03
SITE_LOCATION
1110 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN J O A Q U I ISIV I Environmental Health Department <br /> U IN 1 y <br /> . Gre�trless grows he, . . <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN INC Date: 07/13/2022 <br /> Address: 1110 N MAIN ST , MANTECA 95336 <br /> Requestor: CRYSTAL JUSTICE, 7-ELEVEN Telephone: (916)742-0232 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0083066 <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: Xerxes, 03/04/23; NOV, 01/31/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> -Witnessed one hour integrity testing for the 87 , 91 and diesel tanks Fill and STP sumps under vacuum prior to backfilling. <br /> All passed. <br /> 'This facility is not approve to operate the UST system, additional inspection are needed please refer to approval letter dated <br /> 02/23/2022. <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: E mail report to: Crystal Justice, Cons <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> SR0083066 SC298 07/13/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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