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SAN JOAHI <br />CQU NTY <br />' SS grows hvj— <br />Environmental Health Department <br />Time In: <br />Time Out: <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: ARCO AM/PM MANTECA <br />Date: 06/05/2020 <br />Address: 2050 CRESTWOOD AVE, MANTECA 95336 <br />Requestor: CHRIS BROWN, PM DESIGN GROUP ONC (SUITE 102) <br />Telephone: <br />(707) 921-1204 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: <br />SR0078213 <br />Inspection Type: 131 - UST INSTALLATION INSPECTION <br />Onsite Service Technician: Gilbet Garcia <br />ICC Service Tech/Installer Exp. Date: <br />06/20/2022 <br />Manufacturer training: SB, 01/16/21; VR, 02/20/21; VMI, 01/19/22 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the following inspection: <br />- Witnessed first monitoring system certification testing after fuel delivery - Passed <br />- Leak detector test - Passed <br />* Needed for final approval <br />- All outstanding up to date permit fees must be paid prior to receiving the final approval to operate <br />- Certification of installation form for installed tank system submitted into CERS <br />- Copies of required documents must be submitted into CERS <br />Refer to the approval letter dated July 26, 2019. <br />*This facility is not approve to operate the UST system. <br />* The address to consider for this facility is 2056 Crestwood Ave, Manteca NOT 2050 Crestwood Ave Manteca. <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: PAUL NSO <br />Name and Title: Sarvjiet Singh, Owner <br />Phone: (209) 468-3432 <br />SR0078213 SC131 06/05/2020 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />