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SAN JOAWN <br />C0UNTY <br />Environmental Health Department <br />Time In: <br />Time Out: <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: CHEVRON <br />charge is responsible for ensuring that <br />the above <br />Date: 05/23/2019 <br />Address: 1231 N MAIN ST , MANTECA 95336 <br />Safety Code. <br />If a reinspection is required, fees will be <br />Requestor: GLENN PAREDES, B&T SERVICE STATION CONTRACTORS <br />at the current hourly <br />Telephone: <br />(916) 984-1537 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: <br />SR0077446 <br />Inspection Type: 131 - UST INSTALLATION INSPECTION <br />Onsite Service Technician: Jose Gurrda <br />ICC Service <br />Tech/Installer Exp. Date: <br />09/16/2020 <br />Manufacturer training: Flex, 05/02/21 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />- Witnessed secondary pressure piping soap test of 87 chase piping ,and one hour pressure test at 5.75mmHg -Passed <br />- Witnessed secondary pressure piping soap test of 91 vent piping ,and one hour pressure test at 5.9psi- Passed <br />-Witnessed secondary pressure piping soap test of 87 vent piping ,and one hour pressure test at 5.5psi -Passed <br />-Witnessed primary pressure piping testing of diesel vent piping , +911 <br />psi -Passed <br />-Witnessed all secondary piping slope (at 1/8 inch per foot or greater) <br />-Verification of appropriate backfill in all piping trenches. <br />- Verification of setbacks, burial depth and cross over distances of all piping <br />The person in <br />charge is responsible for ensuring that <br />the above <br />mentioned facility is <br />in compliance with all applicable sections of the California Health and <br />Safety Code. <br />If a reinspection is required, fees will be <br />assessed <br />at the current hourly <br />rate. <br />Received by: <br />EH Specialist: <br />STACY RIVERA <br />Name and Title: Jose Gurrola, Construction Manager <br />Phone: (209) 468-3440 <br />SR0077446 SC131 05/23/2019 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />