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Time In: <br /> Time Out: <br /> 4ptN.. San Joaquin County <br /> N' zX Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �., s �P• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Colonial Energy CE 40134(DBA Power Mart) Date: 10/04/2018 <br /> Address: 1434 W Yosemite AVE , MANTECA 95337 <br /> Requestor: JORGE CORONA, CORONA FUELING AND ELCTRIC INC Telephone: (562)262-8492 <br /> Program Element: 2308-UST RETROFIT Request#: SR0078235 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Nicholas Janoe ICC Service Tech/Installer Exp. Date: 04/11/2019 <br /> Manufacturer training: VMI, 07/13/19; Veeder Root, 05/03/19 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following: <br /> -sensor functionality of the monitoring system.All sensors were tested and passed <br /> -Verification of the Bravo conversion frame installation, per manufacturer's installation instructions.This verification Passed. <br /> -Verification of the dispenser footprints contained by the under dispenser containment sumps.This verification Passed. <br /> -Visual inspection of the piping within the dispenser no leaks were noted and identified where the piping has been capped off. <br /> This service request is NOT completed at this time. <br /> -Secondary containment testing: a 24 hour hydrostatic test(or equivalent)on impacted sumps(UDC 5/6 and UDC 7/8)with <br /> passing results is required prior to operating UDC 5/6, and UDC 7/8. <br /> -Leak detector test with passing results on the Diesel tank must be conducted to confirm that the device can detect a leak of 3 <br /> gallons per hour at 10 psi.-Hazardous waste manifest for tank and piping rinsate within 180 days of waste generated must be <br /> provided. <br /> -Tank owner or operator shall log into the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov/all <br /> pertinent forms and update and submit the"UST monitoring plan"for this tank conversion. <br /> The site can now operate the 87 product, 89 product and 91 product out of UDC 1/2, and UDC 3/4. HOWEVER the site <br /> CANNOT operate out of UDC 5/6 and UDC 7/8 until approved by EHD. <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: Schelby Horton, Manager <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> FA0003739 SR0078235 SC298 10/04/2018 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />