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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />�e 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siaov.org/ehd <br />••'�t'1iI• yt',�l <br />UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br />Fatally Name: <br />Inspection Dale: <br />Waterloo Food & Fuel <br />Friday, July 2, 2010 <br />Fac ft Address: <br />Service Request all: <br />3032 E. Waterloo, Stockton <br />SR0060381 <br />Onsite ServiceTechnicia's Name: <br />ICC Service Technician/InstaRer Exp. Date: <br />ManufachrerTrairft. <br />Robert Barnhart <br />5250450 -UI (4/14/2011) <br />OPW No. P 4809 (1/14/11) <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 />Leak detector <br />❑ <br />❑ mechanical Model: <br />Cl <br />❑ electronic Serial #: <br />❑ line test programmed <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ <br />❑ fail safe Serial #: <br />❑ NA <br />❑ <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ <br />❑ fail safe Serial #: <br />❑ NA <br />sensor <br />sitive shutdown Model: <br />❑po�7 <br />13 fail safe Serial #: <br />❑ NA <br />❑ <br />Drop tube with mechanical overfill at 95% <br />❑ <br />Drop tube with mechanical overfill at 95% <br />0-1 <br />Overfill prevention (see LIS letter 150-1) <br />SERVICE <br />87 Spill bucket O minimum 5 gallon <br />IF _ihour hydrostatic D Incon TS -STS <br />© Caldwell System D Other <br />DSL Spill bucket D minimum 5 gallon <br />® <br />WTour hydrostatic D lncon TS -STS <br />O cd"all system O Other <br />30 bucket O minimum 5 gallon <br />❑ <br />T 1 hour hydrostatic O Mcon TS -STS <br />O Caldwell System O Other <br />P* wy Piping W" at: <br />Cl <br />Psi <br />mirpAse <br />Secondary containment testing for: <br />UDC(s) Piping <br />Sump(s) UST(s) <br />❑ <br />T*Wq for the above components are next due by: <br />Nott: Maps be aware that 2- aMairrnent components are required to be tested upon <br />instsk*m, 6 molts ~, and every 36 months mereatter. <br />❑ <br />Cold start of monitoring panel <br />❑ <br />Corrosion protection <br />❑ <br />Other: see below <br />-Observed 1 -hour hydrostatic test of the repaired 87 grade Spill Bucket, diesel Spill Bucket. Passed. <br />May resume deposition of fuel into these two tanks. <br />-The 91 grade Spill Bucket was not replaced during this inspection and no concrete was broken. <br />Deposition of fuel into the 91 grade Spill Bucket is not allowed until the Spill Bucket is replaced and <br />passed the 1 -hour hydrostatic test. <br />- Note: EHD observed the 87 grade Leak Detector replacement and functionality test on 6/30/2010. <br />See separate SR report. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Retxived 11y, Title: <br />EIO 2}0+CD UST SERVICE REQUEST INSPECTION REPORT <br />!!w OMO1N0 <br />