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SAN JOAQUIN COUNTY 'R <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sigov.org/ehd <br />UNDERGROUND STORAGE TANK UST ) PROGRAM SERVICE <br />QUEST INSPECTION REPORT <br />Facility Namr. <br />Inspection Date: <br />7 -1 -08 - <br />Facility Address: <br />W--;- 1% 17A <br />L,—W,l %-� - <br />Service Request #: <br />SAM 0185�3 <br />Onsite Technician's Name- <br />ICC Service Technician/Installer Certification #: <br />Manufacturer Training: <br />• <br />0^ <br />0 <br />SERVICE <br />Leak detector <br />• <br />0 mechanical Model: <br />0Serial #: <br />line test programmed <br />0 li <br />• <br />Leak detector <br />0 <br />E3 mechanical Model: <br />0 electronic Serial #: <br />• <br />0 line test programmed <br />Leak detector <br />F1 <br />0 mechanical Model: <br />❑ <br />0 electronic Serial #: <br />0 line test programmed <br />sensor <br />0 <br />0 positive shutdown Model: <br />0 fail safe Serial #: <br />0 NA <br />E-1 <br />sensor <br />0 <br />0 positive shutdown Model: <br />0 fail safe Serial #: <br />• <br />El NA <br />• <br />sensor <br />El <br />0 positive shutdown Model: <br />0 fail safe Serial #: <br />El NA <br />0 <br />Drop tube with mechanical overfill at 95% <br />El <br />Drop tube with mechanical overfill at 95% <br />El <br />Overfill prevention (see LG letter 150-1) <br />SERVICE <br />Spill bucket 0 minimum 5 gallon <br />• <br />D I hour hydrostatic El Incon TS -STS <br />0 Caldwell System [I Other <br />Spill bucket El minimum 5 gallon <br />• <br />El I hour hydrostatic 0 Incon TS -STS <br />THIS FACILITY IS SUBJECT TO REINSPECTION <br />0 Caldwell System ❑ Other <br />- Spill bucket 0 minimum 5 gallon <br />• <br />El 1 hour hydrostatic El Incon TS -STS <br />R Caldwell System 0 Other <br />Primary piping testing at: <br />❑ <br />psi <br />minutes <br />Secondary piping testing at: <br />F-1 <br />PS -1 <br />minutes <br />Secondary containment repairs for: <br />E-1 <br />UDC(s) Piping <br />Sump(s) UST(s) <br />Cold start of monitoring panel <br />• <br />Corrosion protection <br />• <br />Other: see below <br />=W T <br />A <br />W4 <br />M <br />'All Iji <br />lk WN3 4, <br />ZWW <br />THIS FACILITY IS SUBJECT TO REINSPECTION <br />TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD 23-04 <br />Rev 06/22/07 P.;j <br />