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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM- . <br /> 304 East Weber Avenue, 3`d Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM SERVICE REQUES' _____ SE142,OR HLHRf°1 ----- <br /> Facility Name: Inspection L15:91 FILL SUMP <br /> 4 ii OTHER SE1,1S,')R5 <br /> ( C FUEL HLHRM <br /> Facility Address: Service Re AUG 15, 2007 8:58 Hf"1 <br /> ��l � �'I f1 Sp a <br /> Onsite Service Technician's Name: ICC Service Technician/Installer Certification#: ManufactL <br /> SERVICE SEP <br /> SEMS OR HLHF1^1 ----- <br /> Leak detector L15:91 FILL SU11P <br /> El mechanical Model: Spill bucket OTHER SENSORS <br /> ❑ ❑ ❑ 1 hour hydrostatic SE14SI=,R OUT HLHR11 <br /> ❑ electronic Serial#: ❑ Caldwell System AUG 15, 2007 9:00 Hf°1 <br /> ❑ line test programmed <br /> Leak detector <br /> ❑ mechanical Model: Spill bucket <br /> ❑ <br /> El electronic Serial #: El El1 hour hydrostatic <br /> El Caldwell System <br /> Elline test programmed <br /> Leak detector <br /> ❑ mechanical Model: Spill bucket ----- SEPISi;R �Lt;Rf�1 ----- <br /> ❑ ❑ ❑ 1 hour hydrostatic 1-15:91 FILL SU11P <br /> ❑ electronic Serial #: OTHER SENSORS <br /> ❑ Caldwell System SENSOR OUT HLHRr1 <br /> ❑ line test programmed <br /> AUG 15. '�Ou? 9:00 H111 <br /> 01 sor Primarypiping testin <br /> ff-positive shutdown :Model: p g <br /> El fail safe Serial #: �p Q El psi <br /> minutes <br /> El NA <br /> sensor Secondarypiping test <br /> El positive shutdown Model: p p g <br /> El <br /> El fail safe Serial #: El psi HLHRI°1 HIST?,R'.' REPORT <br /> minutes <br /> ❑ NA ----- SEPI:OR HLHRH -- --- <br /> L15:91 FILL SU11P <br /> sensor Secondary containme OTHER SEPI,:.IRS <br /> ❑ positive shutdown Model: _EPISOR OUT HLHRf°I <br /> F-1 El fall safe Serial #: El UDC( HUG 15, -,007y:uu HrI <br /> ❑ NA Sump SEPISOR OUT HLHRr'1 <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Cold start of monitori AUG 15, 21-107 9:00 H(°1 <br /> FUEL HLHR11 <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Corrosion protection AUG 15, 200 e:513 All <br /> ❑ Overfill prevention (see LG letter 150-1) ❑ Other: see below <br /> p -64) r <br /> EfVD x x <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURR-.. r L)URLY RAI t. <br /> EHD Inspector: / Received By: Title: <br /> EHD 23-04 <br /> 1/3/07 <br />