Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />x <br />Y .. 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siaov.org/ehd <br />I I I HE RaTel MY! F <br />SERVICE <br />Leak detector <br />0 mechanical Mode■ l: <br />0 electronic Serial #: <br />0 line test programmed <br />0 Caldwell System El Other <br />Leak detector <br />Spill bucket 0 minimum 5 gallon <br />0 mechanical Model: <br />0 1 hour hydrostatic 0 incon TS -STS <br />0 electronic Serial <br />0 Caldwell System 0 Other <br />0 line test programmed <br />Spill bucket 0 minimum 5 gallon <br />Leak,detector <br />0 1 hour hydrostatic El incon TS -STS <br />0 mechanical Mod•el: <br />0 Caldwell System 0 Other <br />1 0 electronic Serial #: <br />Primary piping testing at: <br />0 line test programmed <br />psi <br />sensor <br />minutes <br />0 positive shutdown Model: W; <br />Secondary containment testing for: <br />0 fail safe Serial #: <br />UDC(s) Piping <br />0 NA <br />Sump(s) UST(s) <br />oil <br />Testing for the above components are next due by: <br />0 <br />Note: Please be aware that 21 containment components are required to be tested upon <br />installation, 6 months after, and every 36 months thereafter. <br />Cold start of monitoring panel <br />■ <br />sensor <br />0 positive shutdown Model: <br />0 fail safe Serial #: <br />ONA <br />Drop tube with mechanical overfill at 95% <br />Drop tube with mechanical overfill at 95% <br />0 Ler-q i M a IPISM I <br />EIID 23-04 UST SERVICE REQUEST INSPECTION REPORT <br />Rev 11i17//08 <br />Spill bucket 0 minimum 5 gallon <br />■ <br />0 1 hour hydrostatic 0 Incon TS -STS <br />0 Caldwell System El Other <br />Spill bucket 0 minimum 5 gallon <br />■ <br />0 1 hour hydrostatic 0 incon TS -STS <br />0 Caldwell System 0 Other <br />Spill bucket 0 minimum 5 gallon <br />■ <br />0 1 hour hydrostatic El incon TS -STS <br />0 Caldwell System 0 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 />oil <br />Testing for the above components are next due by: <br />Note: Please be aware that 21 containment components are required to be tested upon <br />installation, 6 months after, and every 36 months thereafter. <br />Cold start of monitoring panel <br />EIID 23-04 UST SERVICE REQUEST INSPECTION REPORT <br />Rev 11i17//08 <br />