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SAN JOAHI <br />CQU NTY <br />' SS grows filer;. <br />Environmental Health Department <br />Time In: <br />Time Out: <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: CHEVRON STATION #209167 <br />Date: 09/09/2019 <br />Address: 1234 E YOSEMITE AVE, MANTECA 95336 <br />Requestor: LIDDY MCKENZIE, GETTLER RYAN INC. <br />Telephone: (925) 551-7555 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0080291 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Micheal O'Sullivan <br />ICC Service Tech/Installer Exp. Date: 01/05/2021 <br />Manufacturer training: OPW(SB), 03/11/21 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to verify direct bury Spill Container and Drop tubes for 87 and 91 tanks. <br />- 5 gallon capacity <br />-One hour hydrostatic test ( witnessed testing no observable drop in liquid level) <br />-Verify Drainage ok <br />The two spill containers were determined to have meet a pass criteria. <br />Drop tubes verified for 87 and 91 tanks <br />According to technician ball floats have been removed for the two tanks. <br />Calculations; <br />87 Tank <br />Actual capacity= 19703 gallons <br />95% = 18717gallons . Technician considered 93% = 18323 <br />Riser height =62in. <br />Actual drop tube length to bottom of tank = 179.25in. <br />Upper tube length = 75.5in. ( Passed) <br />91 Tank <br />Actual capacity= 14976 gallons <br />95% = 14227gallons . Technician considered 93% = 13928 <br />Riser height=67.5in. <br />Actual drop tube length to bottom of tank = 183.5in. <br />Upper tube length = 81.25in. ( Passed) <br />This facility is not approve to operate the UST System. <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: Tim Adams, Technician <br />Phone: (209) 468-3432 <br />FA0012532 SR0080291 SC298 09/09/2019 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />