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Division of Keith A. Tallia. Inc. <br />m <br />STATE LICENSE No. 323417 <br />CLASSIFICATION: A-t3AZ., C61D40 <br />STATE ENVIRONMENTAL ASSESSOR No_ 01791 <br />Telephone: (209) 754-1808 <br />NOV 2 Fax: (209) 754-5726 <br />Post Office Box 950 <br />750 Industrial Way <br />ENVIRONMENT HEALTH SAN ANDREAS, CALIFORNIA 96249 <br />PERMIT/SERVICE%a to : November 1 1, 2002 <br />TO: San Joaquin County Environmental Health Department <br />304 E. Weber Ave., Fl. 3 <br />Mailing Address <br />Stockton, CA 95201 <br />City Zip Code <br />ATTN: UST Coordinator <br />SUBJECT: Norms 76 <br />Facility <br />633 E. Victor Rd. <br />Address <br />Lodi, CA 95240 <br />City State Zip Code <br />Dear Coordinator, <br />This is to advise that on November 4, 2002 our <br />technician performed the following tests and/or certifications <br />on the motor fuel storage and dispensing system at subject site: <br />Tank Integrity Test <br />Dynamic Backpressure Test <br />Pressure Decay Test <br />X Monitoring System Certification <br />X Line Leak Detector Certification <br />Under Dispenser Containment Certification <br />X Impact Valve Certification <br />Cathodic Protection Certification <br />X Double Containment Pipe Test <br />x_ Under Dispenser Sump Test <br />X• Piping Sumps on Tank Test <br />Enhanced Leak Detection Test <br />The work sheets and results of these tests are attached. <br />cc: Woolsey Oil Co. <br />Customer <br />J02-205 file <br />J02-410 <br />Sinc y, <br />Kdith A.� 'Tallia, President <br />No. 1i 1 <br />F <br />s <br />