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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMES <br /> 304 East Weber Avenue,3rd Floor,Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br /> Facility Name: Inspection Date: <br /> vets to o 7/2,4 /67 <br /> Facility Address: Service Request#: <br /> 3 S 610 011Cc/A <br /> Onsite Service Technician's Name: ICC Service Technician/Installer Certification Nlanufact4rt <br /> LJ61bnLAV91Z 52,+90(,-7-L4T- 360 RRpp KK <br /> 0 WNWA<�IrGNZ 99 <br /> SERVICE SERI STOCKTON, CA 95215 <br /> Leak detector SITE # 00001 <br /> Spill bucket <br /> El mechanical Model: 7/26/2007 09:26 <br /> ElElelectronic Serial #: 1:1 1:11 hour hydrostatic ALARM REPORT <br /> ElCaldwell System <br /> El line test ro ammed 7/26/2007 09:26 <br /> Leak detector UNL SUMP <br /> Spill bucket <br /> ❑ ❑ mechanical Model: ❑ ❑ 1 hour hydrostatic <br /> ❑ electronic Serial #: ❑ Caldwell System <br /> El line test programmed THE WASHRACK <br /> Leak detector 3550 N. HIGHWAY 9 <br /> El mechanical Model: <br /> Spill bucket STOCKTON, CA 952 5 <br /> F] ❑ electronic Serial#: ❑ ❑ 1 hour hydrostatic SITE # 00001 <br /> ❑ line test programmed ❑ Caldwell System 7/26/2007 09:27 <br /> sensor <br /> ALARM REPORT <br /> positive shutdown Model: {�-`TSP UG S Primary piping testing d 7/26/2007 09:26 <br /> El safe Serial#: {rj p-7 ae,4, ❑ psl UNL SUMP <br /> ❑ NA 2 1 `tet minutes <br /> sensor Secondary piping testi: <br /> ❑ ❑ positive shutdown Model: ❑ psi 35THENW99ASH RACK <br /> E] fail safe Serial #: <br /> 11 NA minutes STOCKTON, CA 95215 <br /> SITE # 00001 <br /> sensor Secondary containmen 7/26/2007 09:27 <br /> ❑ ❑ positive shutdown Model: ❑ UDC(s ALARM REPORT <br /> ❑ fail safe Serial #: <br /> El NA SUMP( 7/26/2007 09:27 <br /> UNL SUMP <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Cold start of monitorir <br /> ❑ Drop tube with mechanical overfill ❑ Corrosion protection <br /> El Over ill prevention (see LG letter 150-1) at 95% ❑ Other: see below <br /> P.✓l <br /> a <br /> THIS FACILITY IS SUBJECT TO REINSPECTI N T T E AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: t r�tRec v Title: <br /> ^ <br /> EHD 23-04 <br /> 1/3/07 <br />