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Nov. 5. 2008 5: 54PM lest Star Environmental, I n c. No. 4610 P. 1 4f/U <br /> W Date: 11/03/08 <br /> ME E SO A R rs"By:-Bobby.,, en <br /> ob. Brow 05�9 <br /> E 14V# ne-.,'6,56477 8 x301( <br /> -VANMENTAL'INC. <br /> SALES- RUCTION-SERVICE <br /> 4688 W.3mm su lai,rit"o,CA.93722 <br /> (Ssg) 559)277-0106 <br /> f3,7713 <br /> L.SAA. <br /> INSPECTION REQUEST NOV 0 6 2008 <br /> .................................................................... ...........................................................................1............ ................I................I....................................................... <br /> SAN JOA01-M <br /> "-'Fa" dilfll*...136WIlig............. ENVIRONMENTALCOUNTY <br /> APCD Permit# N-313-1-2 HEALTH DEPARTMENT <br /> Facility Name: Escalon Mini Mart Contact Name: Bill <br /> Facility Address: 1097 E.Yosemite Telephone: (209)838-1546 <br /> City/State/Zip Escallon,CA 95320 Fax: (209)838-0756 <br /> Schedule Type: <br /> ......... ........ <br /> Facility Start-up 1X! Routine Compliance Cancellation Reschedule Retest <br /> ................................................................................................................................. ..................... <br /> Air Pollution Control Dist. Environmental Health Dept. <br /> Attention: Attention: Dennis CatapyAq_ <br /> Phone Number: Phone Number: (209)468-3459 <br /> Fax Number: Fax Number: (209)468-3433 <br /> 118/08 9;00 Am <br /> Test Time: J =11 <br /> F-1 TP201,113-Static Torque Annual Monitoring (Buckets&LLD's) <br /> TP20 1.1 C/D-Drop Tube F Spill Buckets Only <br /> F <br /> ® TP 201.3 Leak Decay(ST30) <br /> FRI SB989 <br /> TP 201.313 Leak Decay(ST38) Mechanical Leak Detector Test <br /> TP201.4 Back Pressure(ST27) Pressure Line Test <br /> TP201.5 Air to Liquid Ratio(A/L) Cathodic Protector <br /> TP201.6C Liquid Removal <br /> Integrity Tightness <br /> Z F-1 WL Designated operator Inspection <br /> F-1 HIRT-Liquid Removal(G-70-139) <br /> EJ Primary Piping Inspection <br /> H I RT-Pressure Test(G-70-139) F Secondary Piping Inspection <br /> F <br /> Sag Test <br /> Temporary UST Closure Inspection <br /> F <br /> Dispencer Vapor Line Integrity Test <br /> VR201 (Clean Air Separator) E] Helium Test <br /> Healy Fillneck Vapor Pressure CALIBRATIONS <br /> Regulation(G-70-187) <br /> Healy Vapor Return Line Vacuum PREVENTATIVE MAINT. <br /> Integrity(G-70-187) <br /> ISD Operability <br /> Ad <br /> Inspector acknowledgement Inspector acknowledgement <br /> Confirmation#: Confirmation <br /> --------------------- <br /> ................................................................................................................... ................................................................................................................:....... <br /> Comments: <br /> Tester Information <br /> F-]Customer Acknowledgement on Account TraV/Mj <br /> -0 <br /> E]APCD Acknowledgement ®COD * Permit <br /> EHD Acknowledgement [:]Contract Rates Imby0balm <br />