Laserfiche WebLink
Environmental Health Department <br />SAN-6-JOAQUIN <br />I.rC O U T Time In: <br />k �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 INC STORE #41187 <br />Date: 12/22/2020 <br />Address: 1829 N WILSON WAY, STOCKTON 95205 <br />Requestor: LACY DODGE ON BEHALF OF 7 -ELEVEN INC, TAIT & ASSOCIATES <br />Telephone: (916) 669-1849 <br />Program Element: 2303 - UST/PIPING INSTALLATION <br />Request #: SR0082287 <br />Inspection Type: 131 - UST INSTALLATION INSPECTION <br />Onsite Service Technician: Juan Delgado <br />ICC Service Tech/Installer Exp. Date: 08/31/2022 <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 October 8, 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: <br />EH Specialist: STACY RIVERA <br />Name and Title: Juan Delgado, Installer <br />Phone: <br />SR0082287 SC131 12/22/2020 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />