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OIL EQUIPMENT SERVICE STATE LICENSE No.323417 <br /> CLASSIFICATION: A-HAZ.,C61D40 <br /> Division of Keith A. Ta!!iq Inc. STATE ENVIRONMENTAL ASSESSOR No.01781 <br /> i� <br /> Telephone: (209)754-1808 <br /> OCT 2 9 2002 Fax: (209)754-5726 <br /> Post Office Sox 950 <br /> 750 Industrial Way <br /> ENVIRONMENT HEALTH SAN ANDREAS,CALIFORNIA 9 249 <br /> PERMIT/SERVICES Date: October 23, 2002 <br /> TO: San Joaquin County Environmental Health Department <br /> 304 E. Weber Ave Floor 3 <br /> Mailing Address <br /> Stockton CA 95201 <br /> City Zip Code <br /> ATTN: UST Coordinator - <br /> SUBJECT: il� Food rt <br /> Faci ity <br /> 1414 W. Hosemlte <br /> Address <br /> _Manteca CA 95336 <br /> City State Zip Code <br /> Dear Coordinator, <br /> This is to advise that on October 21 , 2002 our <br /> technician performed the following tests and or certifications <br /> on the motor fuel storage and dispensing system at subject site: <br /> Tank Integrity Test <br /> Dynamic Backpressure Test <br /> Pressure Decay Test <br /> Monitoring System Certification <br /> Line Leak Detector Certification <br /> Under Dispenser Containment Certification <br /> Impact Valve Certification <br /> Cathodic Protection Certification <br /> X Double Containment Pipe Test <br /> _ • Under Dispenser Sump Test <br /> 3_ Piping Sumps on Tank Test <br /> Enhanced Leak Detection Test <br /> The work sheets and results of these tests are attached. <br /> SinOhA. <br /> ly, <br /> e Ta lia, President <br /> cc: Time Oil Co.-Seat A- T.q,�19 <br /> Customer EP <br /> (r,� `(� P <br /> J 02-222 file <br /> Time Oil Co.-SuisEX <br /> l : <br /> 'FOFCAl1'I ' <br />