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INSTALL_2023
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2300 - Underground Storage Tank Program
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INSTALL_2023
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Last modified
6/14/2023 3:18:42 PM
Creation date
6/14/2023 3:16:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2023
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
Tags
EHD - Public
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Program Element: 2303 - UST/PIPING INSTALLATION <br />Telephone: (916) 742-0232 Requestor: CRYSTAL JUSTICE, 7-ELEVEN <br />Inspection Type: 298 - UST SERVICE REQUEST - FIELD ACTIVITY <br />Address: 1110 N MAIN ST , MANTECA 95336 <br />Date: 05/17/2023Name of Facility: 7-ELEVEN INC <br />Underground Storage Tank Program Service Request Inspection Report <br />Request #: SR0083066 <br />Environmental Health Department <br />Onsite Service Technician: Clint Fuhrman ICC Service Tech/Installer Exp. Date: 04/14/2025 <br />Manufacturer training: VR, 04/07/25; OPW, 04/07/25 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the following inspection before fuel delivery: <br /> <br />- Verified dispenser footprints contained by the UDC' s, deflector plates install for fuel filters to drain into UDCs. <br />- Verified VPH components installations( Shroud boots, band clamps for spill containers, rubber gaskets on lids ) <br />- Verified overfill protection equipment-measurement of drop tubes set at below 95%. <br />- Witnessed spill container test, one hour hydrostatic test <br />- Verified 5 gallon capacity and drainage. <br />- Witnessed monitoring system functionality testing of all sensors . <br />- Verified communication (vacuum ) in UDCs, vent, fill and STP sumps and at end point of each vacuum zones <br />- Verified CDTFA number <br />All passed.To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of <br />having them sign. <br />This facility is approve to receive fuel. <br />**Additional inspections are required after fuel delivery . Refer to the approval letter dated February 23, 2022 for a list of <br />inspections 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: <br />EH Specialist:Phone:(209) 616-3049 <br />E mail report to: Sean Augustine, Env <br />PAUL NSO <br />Page 1 of 1EHD 23-01 Rev. 07/05/2022 Underground Storage Tank Program Service Request Inspection Report <br /> SR0083066 SC298 05/17/2023
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