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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. STORE#41342 Date: 09/03/2021 <br /> Address: 1233 E DR. MARTIN LUTHER KING JR BLVD , STOCKTON 95205 <br /> Requestor: GRACE ESPLIN ON BEHALF OF 7-ELEVEN INC.,TAIT&ASSOCIATES, IN Telephone: (916)669-1838 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0082702 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Juan Delgado ICC Service Tech/Installer Exp. Date: 08/31/2022 <br /> Manufacturer training: NOV, 01/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to: <br /> -verified secondary piping slope at 1/8 inch or greater <br /> -verified all piping slopes toward a containment sump <br /> -verified all set backs, cross-overs, and burial depth is appropriate <br /> Please note that the abandoned tank discovered between the dispensers must be removed prior to concrete or backfill.A tank <br /> removal permit is required to remove the tank. <br /> Additional inspections are required prior to concrete pour, please see permit approval letter for additional required inspections. <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: Juan Delgado, Installation Technician <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0082702 SC131 09/03/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />