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®5-19-'1® 13;35 FROM-West Star Envmt Inc t5597277-0106 T-434 P0001/0001 F-848 <br /> PSA• PEi <br /> � : May 19,2010 <br /> �'°"`a°""'"'� E T '"`° "°" Requested By: RMONDA PARKES <br /> EN NMEldT 1NC. MAY 1 9 201OTelephone: 559)277-8378x3005 <br /> SALES; RUCTIo -SERVICE Fax: (559)277-0106 <br /> 4588 W.ISN Bre 101, o,CA.99722 <br /> (559)27 378/ 554) 790108 COUNTY <br /> dUNTY <br /> INSPECTION L U ■T <br /> Facility Details <br /> APCD Permit# N-450-1-6 <br /> Facility Name: COUNTRY MART Contact Name: SANDU <br /> Facility Address: 34243 S CHRISTMAN ROAD Telephone: L209)914-5583 <br /> City/State/Zip TRACY CA 95371 Fax: (209)832.8571 <br /> Schedule Type: <br /> Facility Start-up x Routine Compliance 0 Cancellation El Reschedule11 Retest <br /> Air P61M 'o o ro 's r'cF_ E-n—vironmentaleaDRpU­ <br /> Attention: AREAINSPEUM Attention: <br /> AREA INVECTOR- <br /> Phone Number: Phone Number: 209 468-3420 <br /> Fax Number: Fax Number: (M91 468-3433 <br /> s <br /> m <br /> Test Time: Test Time: 06/16/10 0 1 OAM <br /> 0 <br /> to <br /> TP201.1 B-Static Torque I A I Annual Monitoring(&Spill Buckets)Lamm <br /> TP201.1 CID- Drop Tube Spill Buckets Only <br /> TP201.1 E Leak Rate&Pressure H SB989 Test <br /> TP 201.3 Leak Decay(ST30) 0 SB989 Repair&Retest <br /> v 8 TP 201.313 Leak Decay(ST38) 0 Mechanical Leak Detector Test <br /> X TP201.4 Back Pressure(ST27) 0 Pressure kine Test <br /> TP201.5 Air to Liquid Ratio(A/L) Cathodic Protector <br /> t TP201.6C Liquid Removal integrity Tightness <br /> z > V/L(Vapor over Liquid) Designated Operator Inspection <br /> HX HIRT-Liquid Removal(G-70-139) Primary Piping Inspection <br /> HIRT-Pressure Test(G-70-139) Secondary Piping Inspection <br /> Nozzle Bag Test 0 Temporary UST Closure lnspectic <br /> VR201 (Clean Air Separator) Helium Test <br /> Healy Fillneck Vapor Pressure Preventative Maintance <br /> Regulation (G-70-187) <br /> Healy Vapor Return Line Vacuum <br /> Integrity(G-70-187) <br /> ISD Operability <br /> Healy Dispenser Vapor Line Integrity <br /> Inspector acknow edgement: Inspector acknowledgement: tv <br /> Confinnation#: Confirmation#: <br /> ammen <br /> Customer Acknowledgement On Account Trav/Mi <br /> APCD Acknowledgement COD Permit <br /> x EHD Acknowledgement Contract Rates Fee to Obain <br />