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SAN <br /> J O A U I Environmental Health Department <br /> COUNTY <br /> Grrarness grows hare, <br /> Service Request Inspection Report <br /> Name of Facility: TRIANGLE PLAZA TRACY Date: 03/12/2025 <br /> Address: 3788 N TRACY BLVD , TRACY 95304 <br /> Requestor: SARAH JABLONSKY,WALTON ENGINEERING, INC Telephone: (916)373-1165 <br /> Program Element: 2303- UST/PIPING INSTALLATION Request#: SR0087879 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Alex Delgado ICC Service Tech/Installer Exp. Date: 11/20/2026 <br /> Manufacturer training: NOV, 01/27/26;Xerxes, 06/07/27; Bravo, 11/15/27 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Verified all piping slope all slopes to a sump <br /> -Verified all pipe setbacks, cross-overs, burial depth and backfill appropriate <br /> Per site foreman Alex, brine addition will be done later in installation process closer to when dispensers installed. <br /> Facility is not approved to receive fuel in UST System. Facility is not approved to operate UST System. <br /> See approval letter dates December 13, 2024 for additional inspections required. Send inspection requests in writing to <br /> UST@sjgov.org with 48-hour advanced notice. Indicate what inspections are being requested. <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 Stephanie Charissa, Opera <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0087879 SC131 03/12/2025 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />