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Cm Nlw <br />SAN-JOAQU <br />mIN CGUNTY TT <br />ENVIRONMENTAL HEALTH DEPARTMEN�–') <br />1868 East Haz6lton Avenue, Stockton, CA 95205-6232 <br />Telephone, (209) 468-3420 Pax., (209) 468-3433 Wob. MMs ov.o h <br />UNDERGROUND STORAGE TANK (U PROGRAM PROGRAM SERVICE REQUEST INSPECTION REPORT <br />Msft WVice I a.-MIGIan's HMO IC SmIce T <br />lt�jq n'ev <br />SERVICE <br />0 1 Overfill prevention (see LG letter °50-1) <br />TA This UST facility is APPROVED to operate <br />samee Request <br />installer Exp, Date- 12"UYE'T <br />M <br />'r; <br />�ERVICE <br />Leak detector <br />—mechanical <br />El <br />D <br />Model-, <br />0 electronic <br />Serial <br />Spill bucket 0 minimum 5 gallon <br />0 line test programmed <br />El I hour hydrostatic 11 Incon TS -STS <br />Leak detector <br />El Caldwell System 0 Other <br />0 mechanical <br />Model: <br />Prim" piping testing at: <br />0 electronic <br />Serial #: <br />L1 line test programmed <br />sensor <br />ST s) <br />Cl positive shutdown <br />Madek <br />0 fail safe <br />Serial #' <br />0 NA <br />Cold start of monitoring panel <br />F-1 <br />sensor <br />171 <br />Li <br />El positive shutdown <br />Model: <br />111 fall safe <br />Serial #: <br />0 NA <br />sensor <br />El <br />0 posftive shutdown <br />Model., <br />0 fail safe <br />Serial #: <br />0 NA <br />Drop tube With mechanical overfill at 95% <br />0 <br />---------- - <br />Drop tube with mechanical overfill at 95% <br />0 1 Overfill prevention (see LG letter °50-1) <br />TA This UST facility is APPROVED to operate <br />samee Request <br />installer Exp, Date- 12"UYE'T <br />M <br />'r; <br />�ERVICE <br />L1 This UST facility is NOT APPROVED to operate <br />+) <br />-707�jtev, <br />--Mly—f --14 ti <br />q- 5' <br />AA <br />PW4 oeltan <br />THIS FACILWY IS SUBJECT TCR tINSPEcfro0WNYTiME AT EWIS CURRENT HOURLY TE. <br />MHDP Title.. tie: <br />BiD 2$-04 V UST SERVICE REQUEST INSPECTION R!EPORT <br />Rev 41=12 <br />_77WIV ------ - <br />'- <br />pill buckt 0,0, inimum 5 gallon <br />hour hydrostatic El incon TS -STS <br />,stem 0 Other <br />-4L <br />Spill bucket 0 minimum 5 gallon <br />El <br />El I hour hydrostatic 11 Incon TS -STS <br />El Caldwell System 0 Other <br />Prim" piping testing at: <br />El <br />psi <br />minutes <br />Secondary containment testin f-to"n-wmt; <br />7'p� <br />, 1 <br />U D C (s) 1071 55; Piping <br />ST s) <br />sing Tds othe above com enwk n d Ay:tr <br />0 <br />Cold start of monitoring panel <br />F-1 <br />Corrosion protection <br />171 <br />Gt> ier. see belav <br />L1 This UST facility is NOT APPROVED to operate <br />+) <br />-707�jtev, <br />--Mly—f --14 ti <br />q- 5' <br />AA <br />PW4 oeltan <br />THIS FACILWY IS SUBJECT TCR tINSPEcfro0WNYTiME AT EWIS CURRENT HOURLY TE. <br />MHDP Title.. tie: <br />BiD 2$-04 V UST SERVICE REQUEST INSPECTION R!EPORT <br />Rev 41=12 <br />