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r I Environmental Health Department <br /> - I <br /> COUNTY— <br /> Greatness <br /> U T <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: TIGER EXPRESS STORES Date: 12/21/2022 <br /> Address: 1399 E YOSEMITE AVE , MANTECA 95336 <br /> Requestor: BONNIE GARBER, DONLEE PUMP COMPANY Telephone: (209)537-9396 <br /> Program Element: 2308-UST RETROFIT Request#: SR0085480 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Marcos Palominos ICC Service Tech/Installer Exp. Date: 11/04/2023 <br /> Manufacturer training: OPW, 09/21/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site for the diesel tank overfill prevention equipment verification. <br /> -Verified measurement of OPW drop tube set at below 95%tank volume shut off. <br /> -Verified flapper functionality <br /> -Verified ball floats, no ball floats installed. <br /> This facility is approve to receive fuel in the diesel tank. <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: E mail report to: RUCHI VOHRA, Env <br /> EH Specialist: PAUL NSO Phone: (209)616-3049 <br /> FA0000914 SR0085480 SC298 12/21/2022 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />