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INSTALL_2024
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR2600076
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INSTALL_2024
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Entry Properties
Last modified
2/23/2026 2:03:26 PM
Creation date
10/29/2024 8:54:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2024
RECORD_ID
PR2600076
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0005924
FACILITY_NAME
H&M PETROLEUM CORP
STREET_NUMBER
3780
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
3780 100 N TRACY BLVD TRACY 95304
Suite #
100
Tags
EHD - Public
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r S � OAQUIN Environmental Health Department <br /> -COUNTY <br /> Grrarness grows here. <br /> Service Request Inspection Report <br /> Name of Facility: TRIANGLE PLAZA TRACY Date: 02/09/2026 <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: Nicholas Shearer ICC Service Tech/Installer Exp. Date: 3/19/2027 <br /> Manufacturer training: Veeder-Root, 05/31/27; OPW, 12/22/27 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Verified monitoring system functionality; all sensors passed. <br /> -Witnessed overfill prevention equipment testing for the 87, 91, E-85, and B-20 tanks, measurement of drop tubes to verify 95% <br /> tank volume shut off, and flapper functionality.All passed. <br /> -Verified all dispenser footprints are contained by UDCs. <br /> -Verified liquid and vapor tightness components installation. <br /> *Additional requirements are needed. Refer to the approval letter dated June 28, 2023 for a list of inspections needed. <br /> **This facility is NOT approved to receive fuel. <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: Nicholas Shearer, Service Technician <br /> EH Specialist: MONICA DE ANDA Phone: (209)616-3063 <br /> SR0087879 SC131 02/09/2026 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />
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