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SANJUAQUIN Environmental Health Department <br /> —COUNTY Time In: <br /> Time Out: <br /> ilGreorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: Nella Oil#487 Date: 08/10/2021 <br /> Address: 983 Moffat BLVD , MANTECA 95336 <br /> Requestor: SARAH JABLONSKY-CONSTRUCTION MANAGER,WALTON ENGINEER Telephone: (916)373-1165 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084000 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jessie Andrada ICC Service Tech/Installer Exp. Date: 01/22/2022 <br /> Manufacturer training: OPW, 08/06/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> Verified corrosion protection for 91 spill container prior to backfilling. <br /> This facility is not approve to receive fuel in the 91 tank. <br /> *Additional inspections required see approval letter dated July 27, 2021. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> 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: E mailed to :Anais Maurel, Environme <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0003593 SR0084000 SC298 08/10/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />