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E <br />[A <br />W <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sic3ov.orq/ehd <br />Facility Nam: <br />Inspection Date: <br />COS Municipal Service Ctr. <br />Thursday, January 3, 2013 <br />Facility Address: <br />Service Request #: <br />1465 S. Lincoln St., Stockton <br />SR0065598 <br />onsite Service Technician's Nam <br />ICC Service Technicianflitstaller Exp. Date:Manufacturer <br />. <br />Training: <br />Charles Ferrucci <br />112/14/14 <br />I Incon x.12/29/13 <br />SERVICE <br />Leak detector <br />❑ <br />0 mechanical Model: <br />0 electronic Serial <br />0 line test programmed <br />Leak detector <br />❑ <br />0 mechanical Model: <br />0 electronic Serial It <br />❑ <br />0 line test pMrammed <br />sensor <br />❑ <br />El positive shutdown Model: <br />0 fail safe Serial <br />0 NA <br />sensor <br />E] <br />0 positive shutdown Model: <br />[3 fail safe Serial <br />❑ <br />E3 NA <br />T-1 <br />sensor <br />0 <br />[3 positive shutdown Model: <br />El fail safe Serial <br />0 NA <br />❑ <br />Drop tube with mechanical overfill at 95% <br />El <br />Drop tube with mechanical overfill at 96% <br />❑t <br />Overfill prevention (see LG letter 150-1) <br />§g This LIST facility is APPROVED to operate <br />SERVICE <br />Spill bucket 0 minimum 5 gallon <br />❑ <br />01 hour hydrostatic 0 Incon TS -STS; <br />0 Caldwell System 0 Other <br />Spill bucket 0 minimum 5 gallon <br />I hour hydrostatic 0 Incon TS -STS <br />0 Caldwell System 0 Other <br />Primary piping testing at: <br />❑ <br />psi <br />minutes <br />Secondary containment testing for <br />5/6 and 7/8 UDC(s) Piping <br />Sump(s) UST(S) <br />Testing for the above components are next due by: <br />07/03/2013 <br />Note: Please be aware that r containment W0113011ftnts are Feqd"Dd to be tested 00h <br />im5lailatior% 6 monft after. and awry 36 ffKw4hs thereafter. <br />❑ <br />Cold start of monitoring panel <br />T-1 <br />Corrosion protection <br />0 <br />Other see below <br />[I This UST facility is NOT APPROVED to operate <br />Witnessed secondary containment testing of UDCs 5/6 and 7/8 with an Incon tester. Both passed. <br />Witnessed secondary containment testing of the diesel east product piping - 3 psi for 60 minutes. <br />Passed. <br />I THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />I Fwn i—Z&nr- ;o- —N I Pamium Sv! I Title: I <br />EHD 23-04" RK'04/19/12 UST SERVICE REQUEST INSPECTION REPORT <br />