Laserfiche WebLink
Appendix VI <br /> Underground Storage Tank <br /> Monitoring System Certification Form <br /> TYPE OF ACTION ❑ Installation ❑ Repair 0 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Certification Date <br /> 10182105 11/5/2025 <br /> Facility Name <br /> SAN JOAQUIN COUNTY - SHERIFF OPS # 2 <br /> Facility Address City ZIP Code <br /> 7000 MICHAEL CANLIS BLVD FRENCH CAMP 95231 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Certification Phone <br /> ECO - CHEK 888-500-CHEK <br /> Mailing Address <br /> 3249 MT. DIABLO CT. LAFAYETTE CA 94549 <br /> Service Technician Performing Test <br /> Zane Nimmo & Bryan Kilby <br /> Contractor/Tank Tester License Number <br /> 04-1676 Ex. 4/30/2028 / 774802 <br /> ICC Number ICC Expiration Date <br /> Zane Nimmo 8883064-UT Exp 5/28/27 / Bryan Kilby 9823281-UT Exp 10/20/27 5/28/2027 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> Zane Nimmo Veeder Root A28446 10/13/2027 <br /> Zane Nimmo V M 1 1272 & 2072 1/31/27 <br /> Bryan Kilby - OPW - LMS23183 1/19/27 <br /> Bryan Kilby BRAVO 12/14/2026 <br /> Zane Nimmo BRAVO 1/19/2027 <br /> 4. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST <br /> I hereby certify that the monitoring system is operational in accordance with California Code <br /> of Regulations, title 23, division 3, chapter 16, section 2638; that required supporting <br /> documentation is attached; and all information contained herein is accurate. <br /> Service Technician Signature Date Total # of Pages <br /> 111 /5/2025 6 <br /> CERS = California Environmental Reporting System, GPH = Gallons Per Hour, ID = Identification, <br /> ICC = International Code Council, LLD = Line Leak Detector, NA = Not Applicable, SW = Single- <br /> Walled, UDC = Under-Dispenser Containment, UST = Underground Storage Tank, <br /> VPH = Vacuum/Pressure/Hydrostatic <br /> Page 1 of 6 <br />