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S A N J Q Q Q U IN Environmental Health Department <br /> C O U N T Y Time In: <br /> Time Out: <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SAVE ON FUEL Date: 07/15/2022 <br /> Address: 420 W YOSEMITE AVE , MANTECA 95337 <br /> Requestor: STEFANIE CROWE, TANK-TIGHT SYSTEMS INC Telephone: (916)667-6891 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085370 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Brian Roth ICC Service Tech/Installer Exp. Date: 11/15/2023 <br /> Manufacturer training: OPW, 10/21/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the following inspection on the 87 tank <br /> -Witnessed spill container test, one hour hydrostatic test: Passed <br /> -Verified 5 gallon capacity <br /> -Verified proper drainage <br /> Facility is approved to receive fuel in the 87 tank. <br /> —Additional inspections are needed, please refer to the approval letter dated June 29, 2022. <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: Emailed to Jatin Aneja, Operator <br /> EH Specialist: GABRIELA GARCIA-MEJIA Phone: (209)616-3037 <br /> FA0001196 SR0085370 SC298 07/15/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />