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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> I.rC O U T Time In: <br /> Time Out: <br /> r <br /> r'�JFOSX:, Careotness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN, INC. STORE#41342 Date: 07/14/2021 <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: 09/03/2022 <br /> Manufacturer training: Xerxes, 01/02/22 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the installation of new USTs <br /> -20,000 gallon Xerxes double-walled fiberglass tank <br /> -12,000 gallon base, 8,000 gallon end Xerxes double-walled split tank <br /> -Inside of tanks was inspected by the contractor on site and stated to be clean and brine-free. <br /> -Verified the use of the manufacturer installation checklist at the time of inspection. <br /> -Verified presence of deadmen and use of anchor straps. <br /> -Verified use proper pea gravel backfill. <br /> -Witnessed tank set. <br /> -Verified the application of additional corrosion protection on all metal anchor components. <br /> -Witnessed beginning of backfilling of the tank pit and compaction of pea gravel. <br /> "Additional inspections are required. Refer to the approval letter dated July 8, 2021 for a list of inspections needed. <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 Richard Walton, <br /> EH Specialist: STACY RIVERA Phone: <br /> SR0082702 SC131 07/14/2021 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />