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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: GRAPPA MARKET SHELL Date: 09/28/2022 <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 RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Michael Lemon ICC Service Tech/Installer Exp. Date: 11/23/2022 <br /> Manufacturer training: NOV, 07/02/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Witnessed secondary piping soap testing. No bubbles observed. <br /> -Witnessed one-hour pressure test on secondary piping. Diesel product line did not hold.All others passed. <br /> -Witnessed one-hour vacuum test on all sumps.All held one hour. <br /> Additional inspections are required along with the diesel product secondary pressure test re-inspection. Please see approval <br /> letter dated June 20, 2022, section 5 for list of required inspections. Please submit all inspection requests in writing to <br /> UST@sjgov.org with 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 James Otto, Project Coord <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0084854 SC298 09/28/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />