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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: 04/14/2022 <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: 04/02/2023 <br /> Manufacturer training: OPW, 02/23/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site inspection: <br /> -Verified 5-gallon capacity in 87 spill container <br /> -Witnessed 1 hour hydrostatic test for 87 spill container <br /> Please note, since concrete was broken near 87 and 91 tanks, a secondary containment test must be performed on the 87 <br /> and 91 tanks. See permit condition#3, e. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them <br /> 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 Nik Zagorov, Contractor <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> SR0084878 SC298 04/14/2022 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />