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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: NORTH POLE GAS &FOOD INC Date: 02/28/2022 <br /> Address: 574 W GRANT LINE RD ,TRACY 95376 <br /> Requestor: NIK ZAGOROV, ECO-ATEK COMPLIANCE INC Telephone: (415)740-8590 <br /> Program Element: 2308-UST RETROFIT Request#: SR0084878 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Marco Alejos ICC Service Tech/Installer Exp. Date: 04/03/2023 <br /> Manufacturer training: OPW, 02/23/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -verified corrosion protection on 91 spill container <br /> -approved to backfill and pour concrete on the 91 spill container <br /> During inspection Nik Zagorov explained that the 91 spill container was mistakenly replaced today. The 87 spill container will <br /> need to be replaced. Corrosion protection for the 87 spill container will need to be verified prior to backfill and concrete. Per <br /> discussion with Nik the drop tubes will also need to be replaced due to the riser heights of the new spill containers. The <br /> previous spill containers were composite which have a different riser height from the installed OPW cast iron spill containers.A <br /> revised permit is needed.A new scope of work will need to be submitted referencing the 87 and 91 spill container and drop <br /> tube replacements.As well as cut sheets for the drop tubes to be installed. Please be aware,the facility cannot receive fuel in <br /> the 87 and 91 tanks prior to EHD inspection and approval of the direct bury spill containers and drop tubes. <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 /> Inspection report emailed to: <br /> Nik Zagorov, contractor <br /> Gurvinder Singh, owner <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 Nik Zagorov, Contractor <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0003164 SR0084878 SC298 02/28/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />