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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: MAIN STREET ARCO AM PM" Date: 05/04/2021 <br /> Address: 1100 S MAIN ST , MANTECA 95337 <br /> Requestor: JSKS ENTERPRISES INC, MAIN ST ARCO AM PM Telephone: (209)825-6784 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083321 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Guadalupe Sanchez ICC Service Tech/Installer Exp. Date: 04/01/2023 <br /> Manufacturer training: VR, 10/05/21;VMI, 06/10/21 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness: <br /> -Sensor set up and sensor functionality <br /> -Leak detector test at 3 gallons per hour 10 psi <br /> -Verified dispenser footprint contained byt the UDC <br /> -Verified no piping leaks <br /> Rinsate was not hauled off as hazardous waste but rather recyclable product. <br /> Less than 100 gallons of rinsate was hauled of as recyclable products to Dust Control Etc. <br /> This facility is approved to operate. <br /> Please be sure to update the California Environmental Reporting System (CERS)with current UST system information. <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 /> 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: Kuldeep Sharma, Owner <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0007464 SR0083321 SC298 05/04/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />