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(,IC C, <br />STOCKTON SERVICE STATION EQUIPMENT CO. INC. <br />808 N. UNION STREET SES' 72006 <br />STOCKTON, CA 95205-4152 ENV1 0 ,v1'_; � V HEALTH <br />TH <br />PHONE 209.464.8333 FAX 209.464.8349 PER A.11i-(-,/SE VICES <br />CUSTOMER: DSS Company DATE: August 28, 2006 <br />LOCATION: 655 W. Clay Street <br />CITY: Stockton STATE: CA ZIP: 95206 <br />TECHNICIAN: MIKE JONES <br />Submersible Pump Identification <br />Manufacturer Model Serial Number <br />Red Jacket 5 HP 735610599-137 <br />Leak Detector Identification <br />Manufacturer Description Other Style Leak Detector <br />VMI 99LD-3000 Serial No. 00306071 <br />Diaphragm -type <br />Piston -type X <br />Leak Detector in Submersible Pump <br />Test at Dispenser <br />1. Operating Pump Pressure 37 psi (Purging Test System) <br />2. Gallons per hour rate 3 (Leak Test, Phase I) <br />3. Line pressure with pump shut off 35 psi (Leak Test Phase I) <br />4. Bleed -Back Test with pump off 3100 ml (Bleed -back Test) <br />5. Step -through time to full flow 40 seconds (Step -through Time) <br />6. Leak detector stays in leak search position. (Leak Test Phase II) Yes X No <br />LEAK DETECTOR TEST <br />Note: Pass = Leak detector fits test protocol <br />Fall = Leak detector fails test protocol <br />Pass X <br />Fail <br />Form 890C <br />NOTE: COPY OF THIS REPORT MAILED TO: SAN JOAQUIN CO. ENVIRONMENTAL HEALTH DEPT. <br />DSS COMPANY <br />