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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> I.rC O U T Time In: <br /> Time Out: <br /> r <br /> r'�JFOSX:, Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN Date: 06/24/2020 <br /> Address: 1515E MAIN ST , STOCKTON 95205 <br /> Requestor: KARLY ZACHER,TAIT& ASSOCIATES Telephone: (916)669-1830 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0081790 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Rafael Flores ICC Service Tech/Installer Exp. Date: 02/14/2021 <br /> Manufacturer training: Xerxes, 01/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the installation of new USTs <br /> -20,000 gallon Xerxes double-walled fiberglass tank <br /> -12,000 gallon base, 8,000 gallon end Xerxes double-walled split tank <br /> -Inside of tanks was inspected by the contractor on site and stated to be clean and brine-free. <br /> -Verified the use of the manufacturer installation checklist at the time of inspection. <br /> -Verified presence of deadmen and use of anchor straps. <br /> -Verified use proper pea gravel backfill. <br /> -Witnessed tank set. <br /> -Verified the application of additional corrosion protection on all metal anchor components. <br /> -Witnessed beginning of backfilling of the tank pit and compaction of pea gravel. <br /> "Additional inspections are required. Refer to the approval letter dated May 2020 for a list of inspections needed. <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: Richard Walton,VP <br /> EH Specialist: STACY RIVERA Phone: (209)468-3440 <br /> SR0081790 SC131 06/24/2020 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />