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SA N J o AQ U I N Environmental Health Department <br />Q lJ N T Time In: <br />_ Time Out: <br />Greatness grows here, <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: DINO MART <br />Date: 05/26/2021 <br />Address: 1001 E YOSEMITE AVE, MANTECA 95336 <br />Requestor: TONY MEHROKE, TANK TIGHT SYSTEMS INC <br />Telephone: (916) 667-6891 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0083679 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Brian Roth <br />ICC Service Tech/Installer Exp. Date: 12/26/2021 <br />Manufacturer training: OPW, 09/28/22 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />One site for the following inspections: <br />1) Take off red tag at the diesel tank fill pipe. <br />2) Overfill prevention: Measurement of drop tube at the diesel tank. <br />- Verified 95% tank volume shut off. Tank set at less than 95% tank volume. <br />- Verified flapper functionality. <br />- Verified Ball Floats - No Ball floats present or installed <br />This facility is approve to receive fuel in the diesel tank. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. <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: Vinash Singh, Owner <br />Phone: (209)616-3049 <br />FA0000421 SR0083679 SC298 05/26/2021 <br />EHD 23-01 Rev. 09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />