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r: � I I I Environmental Health Department <br /> Y SA N U <br /> rk.1 wti COUNTY Time In: <br /> Time Out: <br /> Greorness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: GRANT LINE SHELL' Date: 10/30/2020 <br /> Address: 2375 W GRANT LINE RD ,TRACY 95376 <br /> Requestor: SCOTT WILLETT, DIMAGGIO MAINTENANCE INC. Telephone: (760)722-9002 <br /> Program Element: 2308-UST RETROFIT Request#: SR0082297 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Omar Ruiz ICC Service Tech/Installer Exp. Date: 09/05/2022 <br /> Manufacturer training: Bravo, 12/18/20 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> •Observed product piping not contained within the UDC <br /> • Did not observe Bravo conversion frames installed to contain leaks back into UDC compartment <br /> •Verified cold start was performed, results shall be submitted to EHD within 30 days <br /> To minimize person to person contact, EHD is choosing to write the name of person receiving the report instead of having <br /> them 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: Omar Ruiz, Service Tech <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0003772 SR0082297 SC298 10/30/2020 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />