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S A N J Q Q Q U IN Environmental Health Department <br /> COUNTY <br /> Greorness grows here. <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: 7-ELEVEN, INC. Date: 03/24/2023 <br /> Address: 3379 N TRACY BLVD , TRACY 95376 <br /> Requestor: ATTN: GASOLINE COMPLIANCE, 7-ELEVEN INC Telephone: (916)742-0232 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0083881 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Jesus Saldivar ICC Service Tech/Installer Exp. Date: 06/11/2023 <br /> Manufacturer training: VR, 04/21/23; OPW, 07/05/23; Tankonogy Level III, 06/01/25 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following: <br /> -Verified leak monitoring communication—Passed <br /> -Verified dispenser footprints were contained by the UDCs-Passed <br /> -Verified VPH components—Passed <br /> -Witnessed hydrostatic/vacuum testing of the 87, 91, and diesel spill containers and verified drainage-Passed <br /> -Verified overfill prevention equipment measurements and functionality of the flappers—Passed <br /> -Witness sensor functionality testing of all liquid and vacuum sensors-Passed <br /> -Verify the California Department of Tax and Fee Administration (CDTFA) number-Valid <br /> -ELD testing was conducted on 1/10/2023 and 3/23/2023. Passing test results were received while EHD was onsite for the <br /> inspection. <br /> This facility is approved to receive fuel.This facility is not approved to operate the UST system.Additional inspections are <br /> required. Please see the approval letter dated 2/4/2022. <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: Dale Adams, Contractor <br /> EH Specialist: SHEWIT WOLDEAREGAY Phone: (209)616-3063 <br /> SR0083881 SC298 03/24/2023 <br /> EHD 23-01 Rev.07/05/2022 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />