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F_ # A <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />;. 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s4gov.ora/ehd <br />FILE COPY <br />UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br />Facility Name: <br />Inspection Date: <br />Waterloo Liquor <br />Tuesday, July 27, 2010 <br />Facility Address: <br />Service Request: <br />2512 E. Waterloo <br />SR0060671 <br />Onsite Service Technician's Name: <br />ICC Service Technician/Installer Exp. Date: <br />Manufacturer Training: <br />Steve Zwahlen <br />18025473UT 3/31/2012 <br />Franklin 4443693761 (10/29/10) <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 />Leak detector <br />❑ <br />❑ mechanical Model: <br />❑ <br />❑ electronic Serial #: <br />❑ line test programmed <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ fail safe Serial #: <br />❑ <br />❑ NA <br />sensor <br />❑ <br />❑ positive shutdown Model: <br />❑ <br />❑fail safe Serial #: <br />® <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 LIS letter 150-1) <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 />—1 <br />❑ <br />❑ hour hydrostatic ❑ Incon TS -STS <br />❑ Caldwell System ❑ Other <br />Spill bucket ❑ minimum 5 gallon <br />—1 <br />❑ <br />❑ hour hydrostatic ❑ Incon TS -STS <br />O 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 21 containment components are required to be tested upon <br />installation, 6 months atter, and every 36 months thereafter. <br />❑ <br />Cold start of monitoring panel <br />❑ <br />Corrosion protection <br />® <br />Other: see below <br />-Previous monitoring certification on June 29, 2010 found the liquor sensors in the 3 STP sumps and <br />the 2 UDC at the facility would alarm audibly only once when tested before ceasing to alarm audibly. <br />Steve of Franzen Hill stated he had reprogrammed the relay today to allow continuous audible alarm <br />when the referenced sensors are triggered. EHD witnessed verification of continuous audible alarm <br />when the referenced sensors were tested during this inspection. <br />-EHD has received the retroactive permit application on 7/28/2010 and issued a permit approval on <br />7/30/2010. This is the final official inspection report. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EFID'S CURRENT HOURLY RATE. <br />EHD 23-04 UST SERVICE REQUEST INSPECTION REPORT <br />Rev 06/01/10 <br />�- I � cov <br />