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SAN JOAQUIN COUNTY <br />c ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br />Facility Name: <br />Inspection Date: <br />California Fuel Supply <br />Friday, February 14, 2014 <br />Facility Address: <br />Service Request #: <br />2575 Country Club Blvd., Stockton <br />SR0068884 <br />Onsite Service Technician's Name: <br />ICC Service Technician/Installer Exp. Date: <br />Manufacturer Training: <br />Greg Geltz 16/10/15 <br />❑ mechanical Model: <br />1 VR x. 3/18/15 <br />SERVICE <br />Leak detector <br />❑ <br />❑ mechanical Model: <br />❑ electronic Serial #: <br />❑ line test programmed <br />❑ <br />Leak detector <br />❑ <br />❑ mechanical Model: <br />❑ electronic Serial #: <br />❑ <br />❑ line test programmed <br />UDc3/4ann. sensor <br />❑ positive shutdown Model: VR 304 <br />❑ fail safe Serial #: 970020 <br />❑ NA <br />❑ <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ <br />❑ fail safe Serial #: <br />❑ <br />❑ NA <br />❑ <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ fail safe Serial #: <br />❑ NA <br />❑ <br />Drop tube with mechanical overfill at 95% <br />❑ <br />Drop tube with mechanical overfill at 95% <br />❑ <br />Overfill prevention (see LG letter 150-1) <br />❑x This UST facility is APPROVED to operate <br />SERVICE <br />87 -octane Spill bucket 0 minimum 5 gallon <br />LXJ <br />0 1 hour hydrostatic ❑ Incon TS -STS <br />❑ Caldwell System D Other <br />Spill bucket ❑ minimum 5 gallon <br />❑ <br />❑ 1 hour hydrostatic ❑ Incon TS -STS <br />❑ Caldwell System ❑ Other <br />Primary piping testing at: <br />❑ <br />psi <br />minutes <br />Secondary containment testing for: <br />UDC(s) Piping <br />Sump(s) UST(s) <br />❑ <br />Testing for the above components are next due by: <br />Note: Please be aware that 2° containment components are required to be tested upon <br />installation, 6 months after, and every 36 months thereafter. <br />❑ <br />Cold start of monitoring panel <br />❑ <br />Corrosion protection <br />❑ <br />Other: see below <br />❑ This UST facility is NOT APPROVED to operate <br />Witnessed functionality verification testing of the UDC 3/4 annular sensor. Passed. <br />Witnessed one hour hydrostatic testing of the 87 spill container. Passed. Verified 5 gallon capacity <br />and functioning drainage. <br />Note: According to the technician on site, the L12 (diesel fill sump) sensor was in alarm when he <br />arrived. According to the site alarm logs, this sensor was in alarm starting February 1, 2014. The <br />technician added 8 ounces of brine to liquid reservoir to stop the alarm. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIRE AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: Received B . Title: <br />EHD23-04 /19/12 UST SERVICE REQUEST INSPECTION REPORT <br />