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Program Element: 2303 - UST/PIPING INSTALLATION <br />Telephone: (559) 444-1730 Requestor: JAMES OTTO, LC SERVICES <br />Inspection Type: 001 - ROUTINE INSPECTION - Operating Permit <br />Address: 710 N JACK TONE RD , RIPON 95366 <br />Date: 09/28/2023Name of Facility: GRAPPA MARKET SHELL <br />Underground Storage Tank Program Service Request Inspection Report <br />Request #: SR0084854 <br />Environmental Health Department <br />Onsite Service Technician: Jesus Alvarez ICC Service Tech/Installer Exp. Date: 04/28/2025 <br />Manufacturer training: Xerxes, 06/14/24; Bravo, 06/18/25 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for pre-fuel inspectins. <br />- Witnessed and verified BRAVO brine used in the UDCs. <br />- Verified VPH components installations <br />****Note <br />- Brine verification was not sign off. Pending BRAVO's approval. <br />This facility is NOT approved to received fuel. <br />This facility is NOT approved to operate. <br />Additional inspections are required. Please see approval letter dated 6/20/2022 for a list of requirements. Submit required <br />inspection in writing to UST@sjgov.org with a 48 hours advanced notification. <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: <br />EH Specialist:Phone:(209) 616-3045 <br />Emailed to James Otto, Contractor <br />KRISTINA SAETERN <br />Page 1 of 1EHD 23-01 Rev. 07/05/2022 Underground Storage Tank Program Service Request Inspection Report <br /> SR0084854 SC001 09/28/2023