Laserfiche WebLink
B71101200P VVX L6107 PAR 2094683433 M 12002/004 <br />SAN JOAQuiN CotiN,ry <br />P-NVERQNMENTALHEALTH ®EPAPIVENT <br />600 East Main Strw, Stockton, CA 952023029 <br />Telephone: (209) 468-3420 Fax.- (209) 468-3433 Web;+`r,eiaov.or /eEsd <br />U1�iDltafttGRO�CTle1]D STORAGE TANK US PROGRAM SERVICE REQUEST INSPECTION REPORTFdeility fYaltic: Iuspectlo[I Data. <br />GJ <br />EWD 23,04 <br />RQV 00/27/07 <br />Leak detector <br />❑ <br />❑ mechanical Model: <br />❑ electronic Serial #: -- <br />❑ line test ER eed <br />❑ <br />_ Leak detector <br />❑ <br />❑ mechanical Model: <br />❑ electronic Serial #: <br />❑ <br />EJ line test E20Mmed <br />Leak detector <br />® <br />❑ mechanical model: -- -- <br />❑ <br />❑ electronic Serial #: _ <br />❑ lime test progLarnmed <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />Cl fail safe Serial #: <br />❑ <br />❑ NA <br />sensor <br />® <br />❑ positive shutdown Model: <br />❑ <br />❑ fail safe Serial #: <br />T <br />❑ NA <br />sensor <br />® <br />❑ positive shutdown Model: <br />❑ fail safe Serial #: <br />❑ NA <br />❑ <br />Drop tube with mechanical overfill at 95% <br />® <br />Drop tube with mechanical overfill at 95% <br />❑ <br />Overfill prevention (see LO letter 150,-1) <br />GJ <br />EWD 23,04 <br />RQV 00/27/07 <br />YANVOWAVII1 <br />- Spill bucket ❑ minimum 5 gallon <br />❑ <br />❑ 1 hour hydrostatic ❑ Incon TS -STS <br />❑ Caldwell System ❑ Other <br />Spill bucket ❑ minimum 5 gallon <br />❑ <br />❑ 1 hour hydrostatic 0 Incon. TS -STS <br />❑ Caldwell System ❑ Other <br />_ Spill bucket ❑ minimum 5 gallon <br />❑ <br />❑ 1 hour hydrostatic ❑ Incon TS -STS <br />Cl Caldwell System ❑ Other <br />Primary piping testing at: <br />❑ <br />psi <br />minutes <br />Secondary piping testing at:SIT 1 <br />psi <br />,. minutes <br />Secondary containment repairs for: <br />❑ <br />UDC(s) Piping <br />Sump(s) UST(s) <br />Cold start of monitoring panel <br />❑ <br />Corrosion protection <br />T <br />Other: see below <br />YANVOWAVII1 <br />