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• 0 RECEIVED <br />SAN JOAQUI <br />N VALLEY AIR POLLUTION CONTROL DISTRICT <br />JAN 27 2016 <br />Northern Region Office Central Region Office F-1 Southern Region 011ier <br />48W Enterprise Wa> 1990 F., Gettysburg Ave. 34946 Fiyover Coun IRONMENTAL <br />Modesto. CA 95356-8718 Fresno. CA 93726-0244 Bakersfield. CA 933000 <br />(209) 557-6400 059) 230-5950 (661092-55(g) HEALTH DEPARTMENT <br />Gasoline Vapor Recovery Inspection Form <br />Station Name: Edward R. Marszal Ent (Pacific Ave Chevron PTO: N-621-1-4 <br />Location: 633 Pacific Ave -Station %171 <br />Compliance Contact: Cassandra <br />inspection Type: ® Compliance ❑ Complaint O Start Up <br />Follow-up to: Notice of Violation # <br />City: Stockton Phone # : 209 <br />Title: Asst. Manager <br />Start Up Date: Test Date: 1/19/2016 <br />Notice to Comply if <br />Inspection result: 9 No defects noted ❑ Defects noted (below): <br />Lomments. <br />On site to conduct the annual inspection of the station. The source is scheduled to conduct annual source testing later today with <br />Affordatest.. <br />-All ISD Alarms, In Station Diagnostic Alarms, and repairs need to be recorded on the alarm log located at the VeederRoot.. The <br />system makes daily assessments at 10am, which would be the best time to record the daily system status. Regardless, all alarms <br />need to be recorded as well as who made the repairs and why. <br />- All hanging hardware seem to be in good working order and the CAS valving were in the correct positions. The Phase 1 equipment <br />was not inspected due to the rain <br />Inspector: Michael Hamaguehi Date: <br />When repairs arc complete call: <br />1/19/2016 <br />Signature of <br />Receipt: Copy left on site <br />SOI IT: (.1 Health & Safeh ( ode. Section 41960.2 (a) - Maintenance of Installed Systems, (e) Requires that <br />the atxcoe listed' -day deficiencies be repaired Aithin 7 days. Uailure to do .o will result in legal action. <br />For important updates and information regarding gasoline dispensing operation requirements, please join <br />our email notification list for Gasoline Vapor Recovery at: http.//www.valieyair.orgtlists/hst him <br />HEALTHY AIR LIVING' <br />*WW cpm <br />Make one chante fat clean air? <br />Phase I <br />Phase 11 <br />Executive Order: <br />VR -101 <br />Executive Order: VR -202 <br />T Nozzles: 36 <br />MUST <br />OAST <br />Tank 'T <br />Phase If Control Type: CAS <br />PMC Version: <br />Standing Loss Control Compliant? <br />[Configuration: <br />ISD <br />ISD Installed? No ISD Type: <br />Vtteder-Root ISD Version: 1.02 <br />Tank Measurements <br />Tank Size 10k 10k 10k <br />*if ISIS is not installed facilih is limited to 600,000 eallons/vear <br />ISD Currently in alarm? No Alarm History log on-site? Yes <br />Is facility respondinR to alarms? Yes <br />Product Type <br />81 87 87 <br />Maintenance <br />Location <br />Maintenance Required? N/A <br />Maintenance Performed? <br />Fill Confi . <br />Date of last maintenance inspection: <br />Tank Depth <br />DNM <br />Self -Inspections <br />Fill Tube Length <br />Rain <br />Self -inspection Records: <br />I Self -inspection frequency: <br />Diff 6" or less <br />Throughput: 2A m annual) <br />Inspection result: 9 No defects noted ❑ Defects noted (below): <br />Lomments. <br />On site to conduct the annual inspection of the station. The source is scheduled to conduct annual source testing later today with <br />Affordatest.. <br />-All ISD Alarms, In Station Diagnostic Alarms, and repairs need to be recorded on the alarm log located at the VeederRoot.. The <br />system makes daily assessments at 10am, which would be the best time to record the daily system status. Regardless, all alarms <br />need to be recorded as well as who made the repairs and why. <br />- All hanging hardware seem to be in good working order and the CAS valving were in the correct positions. The Phase 1 equipment <br />was not inspected due to the rain <br />Inspector: Michael Hamaguehi Date: <br />When repairs arc complete call: <br />1/19/2016 <br />Signature of <br />Receipt: Copy left on site <br />SOI IT: (.1 Health & Safeh ( ode. Section 41960.2 (a) - Maintenance of Installed Systems, (e) Requires that <br />the atxcoe listed' -day deficiencies be repaired Aithin 7 days. Uailure to do .o will result in legal action. <br />For important updates and information regarding gasoline dispensing operation requirements, please join <br />our email notification list for Gasoline Vapor Recovery at: http.//www.valieyair.orgtlists/hst him <br />HEALTHY AIR LIVING' <br />*WW cpm <br />Make one chante fat clean air? <br />