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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.sjaov.ora/ehd <br /> �•d�i k oR�`� <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br /> Facility Name: Inspection Date: <br /> Waterloo Liquors Friday, October 15, 2010 <br /> Facility Address: Service Request : <br /> 2512 E. Waterloo Rd., Stockton SR0061062 <br /> Onsite Service Technician's Name: ICC Service Technician/Installer Exp.Date: Manufacturer Training: <br /> Steve Zwahlen 18025473UI 4/30/2012 Frankln 4443693761 10/29/2010 <br /> SERVICE SERVICE <br /> Leak detector <br /> ❑ mechanical Model: Spill bucket 13 minimum 5 gallon <br /> ❑ ❑ electronic Serial#: ❑ ❑1 hour hydrostatic 13 Incon TS-STS <br /> ❑Caldwell System ❑Other <br /> ❑ line test programmed <br /> Leak detector Spill bucket ❑minimum 5 gallon <br /> ❑ ❑mechanical Model: ❑ ❑1 hour hydrostatic ❑Incon TS-STS <br /> ❑electronic Serial#: ❑Caldwell System ❑Other <br /> ❑line test programmed <br /> Leak detector Spill bucket ❑minimum 5 gallon <br /> ❑ ❑mechanical Model: ❑ ❑1 hour hydrostatic ❑Incon TS-STS <br /> ❑electronic Serial#: ❑Caldwell System ❑Other <br /> ❑line test programmed <br /> sensor Primary piping testing at: <br /> ❑positive shutdown Model:❑ ❑ psi 13fail safe Serial#: minutes <br /> ❑NA <br /> sensor Secondary containment testing for: <br /> ❑ ❑positive shutdown Model: UDC(s) 87 Piping <br /> ❑fail safe Serial#: Sump(s) UST(s) <br /> O NA <br /> sensor 0 Testing for the above components are next due by: <br /> ❑ ❑positive shutdown Model: <br /> ❑fail safe Serial#: Note: Please be aware that r containment components are required to be tested upon <br /> ❑NA installation,6 months after,and every 36 months thereafter. <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Cold start of monitoring panel <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Corrosion protection <br /> ❑ Overfill prevention(see LG letter 150-1) ❑ Other: see below <br /> -- Observed 3pm secondary containment test of the 87-octane fuel piping at 5 psi post pouring of <br /> concrete at the north side of Dispenser#1/2 on 10/13/2010. Visual failed with soap bubbles on boot. <br /> SR0061062 permit condition has not been met. UST System not ready to return to operation. <br /> -- 87 and 91-octane UST product inventory were 4,531.75 and 1,263.90, respectively. Red Tag <br /> Significant Violation has not been corrected and the Red Tag remains affixed to the two UST fill <br /> pipings. <br /> THIS FACT ITY IS SUBJECT TO REINSPECTION ATANynmE AT 'S CURRENT HOURLY RATE. <br /> EHD Inspe5fp Received By: Title: <br /> EHD 23-04 UST SERVICE REQUEST INSPECTION REPORT <br /> Rev 06/01/10 <br />