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08-22-'08 11:53 FROM-WENDT CONSTR. 1-209-547-9312 T-960 P03/03 U-862 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stock -ton, CA 95202-3029 <br />Telephone: (209) 468-3420 F= (209) 468-3433 www.sjgov.org/ehd <br />UNDERGROUND STORAGE TANK (USTPROGRAM SERVICE QUEST INSPECTION REPORT <br />Facility Nam-. <br />C2 �C A <br />FadUq Address: Service Request <br />COA�tll <br />Oasite Service Technician's Name- ICC Service Techniciam/histaller Certification 44 Manufacturer Training: <br />(e <br />SERVICE SERVICE <br />Leak detector' <br />0 mechanical Model: <br />0 electronic Serial #: <br />0 line test j2ro&2=ed <br />Leak detector <br />❑ 0 mechanical Model: <br />0 electronic Serial #: <br />0 line test ro ed <br />. Leak detector <br />0 mechanical Model: <br />C3 electronic Serial #: <br />0 line test grog=ed <br />sensor <br />❑ 0 positive shutdown Model: <br />0 fail safe Serial #: <br />0 NA <br />sensor <br />0 positive shutdown Model: <br />0 fail safe Serial #. <br />El NA <br />sensor <br />0 0 positive shutdown Model: <br />C1 fail safe Serial #: <br />C1 NA <br />0 Drop tube with mechanical overfill at 95% <br />El Drop tube with mechanical overfill at 95% <br />❑ Overfill prevention (see LG letter 150-1) <br />EHD,23-04 <br />Spill bucket 0 minimum 5 gallon <br />0 <br />0 1 hour hydrostatic 0 Incon. TS -STS <br />c, <br />0 Caldwell System 0 Other <br />Spill bucket 0 minim -am 5 gallon <br />El <br />0 1 hour hydrostatic El Incon TS -STS <br />1:1 Caldwell System 0 Other <br />e. <br />Spill bucket 0 minimum 5 gallon <br />0 <br />0 1 hour hydrostatic 0 Incon TS -STS <br />El Caldwell System 0 Other <br />Primary piping testing at: <br />❑ <br />psi <br />Received By: <br />minutes <br />Secondary piping testing at: <br />psi <br />minutes <br />Secondary containment repairs for: <br />0 <br />UDC(s) Piping <br />Sumps) UST(S) <br />❑ <br />Cold start of monitoring panel <br />11 <br />Corrosion protection <br />if <br />Other: see below <br />EHD,23-04 <br />c, <br />L I Ef QU i,-9, \j <br />e. <br />THIS FACILITY IS SUBJECT TO REINSPECTION <br />ANY TIME El @'S CURRENT HOURLY RATE. <br />Spector. <br />Received By: <br />EHD,23-04 <br />