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Time In: <br />Time Out: <br />�P.�•ut�!. c San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />• c ... :P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />���FORN <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: CHEVRON <br />Date: 02/21/2019 <br />Address: 1231 N MAIN ST, MANTECA 95336 <br />Requestor: GLENN PAREDES, B&T SERVICE STATION CONTRACTORS <br />Telephone: (916) 984-1537 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: SR0077446 <br />Inspection Type: 131 - UST INSTALLATION INSPECTION <br />Onsite Service Technician: Jose Gurrola <br />ICC Service Tech/Installer Exp. Date: <br />Manufacturer training: Installer, 09/16/20; Xerxes, 04/10/20 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the following: <br />-Tank set of two Xerxes fiberglass tanks, one 20,000 gallon and one 12,000/8,000 gallon split tank. <br />-Inspection of the tanks for brine leaks prior to placement in the excavation. <br />-The inside of the tanks was visually inspected by the contractor and reported as being clean and dry. <br />-Tank installation checklist was witnessed being completed throughout the installation. <br />-Witnessed deadman and anchor installation. The presence of paint coating for corrosion protection of metal components was <br />confirmed as available on site, but was not yet installed. <br />-Pea gravel backfill was observed on site, but was not yet placed on the tanks. <br />"The contractor noted a discrepancy between the submitted engineer plans and the actual tank set up. The turbine sumps <br />and fill sumps are swapped on the tanks. Also, the annular space of the spilit tank needs to be on the inside instead of the <br />outside in order to keep the larger tank (12,000) in the middle. He wi <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: <br />EH Specialist: STACY RIVERA <br />Name and Title: Jose Gurrola, Installer <br />Phone: (209) 468-3440 <br />SR0077446 SC131 02/21/2019 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />