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Time In: <br /> Time Out: <br /> o�4�tN. San Joaquin County <br /> a Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Vic. P• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s'_ov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN INC#17647 Date: 08/09/2018 <br /> Address: 1048 W YOSEMITE AVE , MANTECA 95337 <br /> Requestor: MICHAEL WALTON,WALTON ENGINEERING INC Telephone: (916)373-1165 <br /> Program Element: 2308-UST RETROFIT Request#: SR0079418 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Juan Delgado ICC Service Tech/Installer Exp. Date: 12/04/2018 <br /> Manufacturer training: OPW, 01/01/19 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to verify corrosion protection for the 87 product and diesel product direct bury spill containers prior to backfilling.While <br /> on site found that the spill containers that were approved by EHD, OPW(OP-2100C-DEVR)were exchange to a 5 Gallon, <br /> OPW 1 C-3112D Replaceable Spill Containers. Called Elena Manzo who stated that it was okay for the company to use OPW <br /> 1C-3112D Spill Container. However a revised cut sheet and permit would need to be submitted to EHD. Verify that the riser <br /> was cover with 3 inch, 20 MIL pipe wrap tape to protect it from corrosion,the rest of the spill container was isolated from <br /> backfill to meet corrosion protection verification. <br /> This service request is not completed at this time.A verification of a minimum 5 gallon capacity, one hour hydrostatic test(or <br /> equivalent)along with proper drainage, and secondary containment testing on the 87 product and diesel product tank must be <br /> verify in order for the facility to receive 87 and diesel 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: Juana Delgado, Service Technician <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0000508 SR0079418 SC298 08/09/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />