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SAN JOAQUIN COUNTY <br />• r ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sipov.orq/ehd <br />4�i ra $aia <br />UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br />Facility Name: <br />Inspection Date: <br />Arco #5450 <br />Wednesday, October 15, 2014 <br />Facility Address: <br />Service Request #: <br />1617 W. Fremont St., Stockton <br />SR0070299 <br />Onsite Service Technician's Name: <br />ICC Service Technician/Installer Exp. Date: <br />Manufacturer Training: <br />Felix Ramirez <br />(ST) 12/6/14 Tank tester 5/31/17 <br />Petro-tite x. 8/7/15 <br />SERVICE <br />Leak detector <br />❑ <br />❑ mechanical Model: <br />❑ electronic Serial #: <br />❑ line test programmed <br />❑ <br />Leak detector <br />❑ <br />❑ mechanical Model: <br />❑ electronic Serial #: <br />(] <br />❑ line test programmed <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ fail safe Serial #: <br />❑ NA <br />❑ <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ <br />❑ fail safe Serial #: <br />❑ <br />❑ NA <br />❑ <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 LG letter 150-1) <br />X❑ This UST facility is APPROVED to operate <br />SERVICE <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 ❑ Incon TS -STS <br />❑ Caldwell System ❑ Other <br />Primary piping testing at: <br />(] <br />psi <br />minutes <br />Secondary containment testing for: <br />UDC(s) Piping <br />Sump(s) UST(s) <br />❑ <br />Testing for the above components are next due by: <br />Note: Please be aware that 2° containment components are required to be tested upon <br />installation, 6 months after, and every 36 months thereafter. <br />❑ <br />Cold start of monitoring panel <br />❑ <br />Corrosion protection <br />❑ <br />Other: see below <br />❑ This UST facility is NOT APPROVED to operate <br />On site to witness primary product line testing on the 87 and 91 lines. The readings were increasing <br />at the first few 15 minute intervals. According to the technician, the rate of increase was too high <br />indicating either a large increase in temperature or air in the lines. This testing was done early in the <br />morning on a cooler day. The technician is calling the testing inconclusive until the lines can be <br />properly purged for a retest. <br />9171 9690 0935 0063 5154 94 <br />I THIS FACILITY IS SUBJECT TO REINSPECTIO14 ATAt0[!frA45;6frEHD'S CURRENT HOURLY RATE. I <br />EHD 23-04 Rev. 03/79712 9 UST SERVICE REQUEST INSPECTION REPORT <br />