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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: QUIK STOP MARKET#124 Date: 12/02/2021 <br /> Address: 505 N MAIN ST , MANTECA 95336 <br /> Requestor: DEBROAH JONES, ELITE IV CONTRACTORS Telephone: (209)461-6337 <br /> Program Element: 2308-UST RETROFIT Request#: SR0083685 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Joseph Bartholdi ICC Service Tech/Installer Exp. Date: 04/13/2023 <br /> Manufacturer training: VR, 04/19/23; Bravo, 04/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection: <br /> -Verification of dispensers foot prints contained by the under dispenser containment(UDC)sumps: Deflector plates installed, <br /> fuel filters drain into deflector plates and into UDCs. <br /> -Verified Conversion frames and piping within the dispensers. <br /> -Sensor functionality:Verified 2-87 STP sensors and 91 STP sensors, monitoring panel restored to normal after cold start. <br /> -Verified 89 tank now 87 <br /> This facility is approve to operate the UST system. <br /> *The tank owner or operator shall log into the California Environmental Reporting System (CERS)at http://calepa.ca.gov and <br /> ensure all UST information is current. <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: Name and Title: E mailed report to: Marty Hilfinger, En <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0006441 SR0083685 SC298 12/02/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />