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r I Environmental Health Department <br /> - I <br /> COUNTY— <br /> Greatness <br /> U T <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SUPER STOP GAS&LIQUOR' Date: 01/04/2023 <br /> Address: 290 N MAIN ST , MANTECA 95336 <br /> Requestor: JAMES OTTO, LC SERVICES Telephone: (559)444-1730 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085759 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Micheal Lemon ICC Service Tech/Installer Exp. Date: 12/09/2024 <br /> Manufacturer training: OPW, 07/07/24 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection on the 87 tank: <br /> Spill Container test: <br /> -Verified 5 gallon capacity <br /> -Verified drainage <br /> -Witnessed one hour hydrostatic test- Passed <br /> Overfill prevention equipment verification: <br /> -Measurement of drop tube set at below 95%tank volume shut off. <br /> -Verified Flapper functionality <br /> -Verified ball floats no ball floats installed. <br /> All passed. <br /> This facility is approve to receive full in the 87 tank. <br /> *Note: Since concrete was broken near the 87 tank a secondary containment test must be performed on the 87 tank. Provide a <br /> 48 hour written notification to ust@sjgov.org once this test is schedule. <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: Dua Mandeep, Envir <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0003716 SR0085759 SC298 01/04/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />