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r S � OAQUIN Environmental Health Department <br /> -COUNTY <br /> Grrarness grows here. <br /> Service Request Inspection Report <br /> Name of Facility: Kwik Sery Boyett Petroleum#98 Date: 09/10/2024 <br /> Address: 2501 Jackson AVE , ESCALON 95320 <br /> Requestor: Matt Thomas Telephone: (916)991-1100 <br /> Program Element: 2308- UST RETROFIT Request#: SR2400400 <br /> Inspection Type: 333-INSPECTION/REINSPECTION (Chargeable) <br /> Onsite Service Technician: Leo Ranqel ICC Installer Exp. Date: 07/7/2025 <br /> Manufacturer training: ICC Service Tech, 07/07/25; FF, 03/12/26 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> -Verified minimum 5-gallon capacity on diesel direct bury spill bucket <br /> -Verified functionality of drain valve on diesel direct bury spill bucket <br /> -Witnessed one hour hydrostatic test on diesel direct bury spill bucket. <br /> -All components passed. <br /> Secondary containment testing on the diesel tank was started while I was on site but it was not witnessed. <br /> This facility is approved to receive fuel in the diesel tank. <br /> A copy of the test report must be submitted within 30 days of the tests. <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: Emailed to Matt Thomas, CGRS, Inc. Name and Title: Matt Thomas, CGRS, Inc. <br /> EH Specialist: LYNSEY SAMMONS Phone: (209)616-3067 <br /> FA0003910 SR2400400 SC333 09/10/2024 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />