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S A N J Q Q Q U IN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: GRAPPA MARKET SHELL Date: 01/30/2024 <br /> Address: 710 N JACK TONE RD , RIPON 95366 <br /> Requestor: JAMES OTTO, LC SERVICES Telephone: (559)444-1730 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0084854 <br /> Inspection Type: 298-UST SERVICE REQUEST- FIELD ACTIVITY <br /> Onsite Service Technician: Jesus Alvarez ICC Service Tech/Installer Exp. Date: 04/28/2025 <br /> Manufacturer training: VR, 07/05/25;VMI, 10/15/25; Bravo, 06/18/25; FFS, 09/12/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for prior to final inspection. <br /> -Verified vacuum zone programming and monitored volume <br /> -Witnessed leak detector testing <br /> -Witnessed Monitoring System functionality <br /> -Verified as-built drawing was accurate <br /> -Received Xerxes installation checklist <br /> This facility is approved to received fuel. <br /> This facility is NOT approved to operate. <br /> **************Annual Monitor System Certification&Spill Containment Testing is set to the month of January************** <br /> **Note the following documentation are needed: <br /> -DO training for Employees are needed <br /> -Fees must be paid <br /> -Verification of the"UST Certification of Installation/Modification"element was submitted onto CERS is needed. <br /> -Verification of the UST, Hazardous Materials CERS submittals are needed. <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 Sunny Kumria, Manager <br /> EH Specialist: KRISTINA SAETERN Phone: (209)616-3045 <br /> SR0084854 SC298 01/30/2024 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />