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v �.s <br />SAN JOAQUIN COUNTY AIR POLLUTION CONTROL DISTRICT <br />1601 E. HAZELTON AVENUE, P.O. BOX 2009, STOCKTON, CALIFORNIA 95201 <br />Telephone: 209-466-6781 or 462-8526 <br />GASOLINE STATION OBSERVATION AND REINSPECTION REPORT <br />Firm Name %//,�, ,✓1/i1,1, <br />Z 6, Permit No. <br />Location n/7 / <br />Tank Size 1) /ooao 2) 3) 4) 5) 6) <br />Submerged Fill Pipe Depth <br />[ ] Satisfactory <br />[ ] Unsatisfactory <br />[ ] Off -Set <br />Phase I Vapor Recovery System <br />[ ] OPW <br />[ ] DPW (Coaxial) <br />[ ] Emco Wheaton A-70 N <br />[ ] Emco Wheaton A-88 <br />[ J Teed <br />[ ] Parker Coaxial <br />[ ] Other <br />[ ] Exempt Dealer <br />Fill Cap(s), Vapor Cap(s), Seal(s), and <br />Vent(s), Dry Breaks <br />[ ] Satisfactory <br />[ ] Unsatisfactory <br />P/V Vent Valve (s) <br />[ ] Yes [ ] No <br />Phase II Vapor Recovery System <br />[ ] Balance <br />[ ] Red Jacket <br />[ ] Hirt <br />[ ] Other <br />[ ] Exempt: < 2000 Gal/Mo <br />Phase II Components <br />Satisfactory Unsatisfactory <br />(Description & Location) <br />Type <br />Nozzles <br />[ <br />] <br />[ <br />] <br />Boots <br />[ <br />] <br />[ <br />] <br />Hoses <br />[ <br />] <br />[ <br />] <br />Swivels <br />[ <br />] <br />[ <br />] <br />Retractors <br />[ <br />] <br />[ <br />] <br />Flow Limiters <br />[ <br />] <br />[ <br />] <br />Traps <br />[ <br />] <br />[ <br />] <br />Aspirated <br />System <br />[ <br />] <br />[ <br />] <br />Notice of Violation Issued? [ ] Yes [ ] No Vacuum Assist <br />System [ J [ ] <br />NV N Rule <br />Other [ ] [ ] <br />Correction Deadline <br />Corrected [ ] Yes No Gasoline Supplier <br />Remarks/Recommendat <br />Permit Status: [ ] To be renewed <br />Recheck recommended in <br />Enforcement Officer <br />APF -83 11�4L d7 IR /1,7 <br />[ ] Further review required <br />Weeks Months When in Area <br />Filing Code alldl�i 4. <br />61/9 77 -//So, <br />Ft <br />10/84 1 M <br />