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SANOAQU I N Environmental Health Department <br /> COU NI T Y I Y Time In: <br /> + _,fr Time Out: <br /> . •- Greotr+ess �row3 here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN INC#32262 Date: 12/21/2021 <br /> Address: 2360 W GRANT LINE RD ,TRACY 95376 <br /> Requestor: SARAH JABLONSKY,WALTON ENGINEERING INC Telephone: (916)373-1165 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084151 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Anthony Reyes ICC Service Tech/Installer Exp. Date: 09/02/2022 <br /> Manufacturer training: OPW, 05/25/23; Xerxes, 01/02/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> •Verified minimum 5-gallon spill bucket capacity on 87, 89 and 91 tanks <br /> •Witnessed 1 hour hydrostatic test on 87, 89, 91 spill buckets <br /> •Verified ball floats are not installed on 87, 89 and 91 tanks. Ball floats were not observed in the vapor recovery pipes. 87, 89 <br /> and 91 vapor recovery pipes were opened by technicians to show the ball float extractor on the vapor recovery pipe with no ball <br /> floats installed. <br /> •Verified tank charts and calculations for drop tubes. 87, 89 and 91 drop tubes at less than 95%tank volume shut off. <br /> To minimize person to person contact EHD is choosing to write the name of the person receiving the report instead of having <br /> them sign. <br /> This facility is approved to receive fuel in the 87, 89, 91 tanks. <br /> Inspection report emailed to <br /> •Sarah Jablonsky<sarah.j@waltonengineering.com> <br /> • Ethan Valburg <Ethan.Valburg@7-11.com> <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: Emailed to Sarah Jablonsky, Constru <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0007735 SR0084151 SC298 12/21/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />