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SeP.17. 2013 9.41AM <br />No. 3340 P. 5/6 <br />0 40 <br />02l02/2el2 14,50 209-5998146 0511714 PAGE 05106 <br />SM JQAQUIN 001.10" 'E[ <br />HEL; v <br />ENVIRONMhNTAL H'EkTN DEPARTMENT <br />800 East Main street, Stockton. CA 662A2-30ZU <br />,. . <br />7eila ►ani : (209) 468-3420 Fax. (209) 468-343$ 1+1►Qlir; 81 V0 0 �r� SEP 17 2013 <br />LUWDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPOW :]INMENTAL <br />DEPARTMENT <br />Faartly Nanus: <br />Irkaractoo nnbe: <br />Chevron`Ch01r! <br />tdaYFeb2, 2012 <br />� ru fY _ <br />FWULtyaddr <br />B� _ quuuktl� <br />1442 Colony Road, Ripon <br />SR0064231 <br />011941 UrvicA T"hnlclan's Name: <br />lop SOYM�Mr�NIk llAl filer }7uhe; <br />AIf1rF+�fscturerT <br />J�ey:Moat <br />ICC# 5259458 515113 <br />VR . A27796 1113/12 <br />SERVICE <br />SERVICI <br />Q <br />Leak ftadflr <br />mothanical [andel: <br />1� <br />_SIriN bracket p rnlntmum 5 gallonp <br />11 elecimnic Serial it <br />17 1 hdur hydrostatic ❑ Int irk T6 -STS <br />D line test iwnmd <br />❑ Caldwe l System 11 Mor <br />t_aak Detector <br />F11 meme�tioncal Modal: -- <br />Spill bucket 11miMmum 5 gallon <br />.... _ <br />EI electronic SCN87 #_ <br />❑ <br />Q 1 hour hydtresfatic [3Incon TESTS <br />� ane test rammati <br />❑ Caldwell System 10 other <br />rz"°°r <br />(`7 PoAv� shutdown Model ` _ <br />❑ <br />Prim" piping tceling at; <br />❑ to] safe Geylw #: <br />-- P!)i <br />minUfes <br />❑ NA <br />sensor <br />_ <br />Secondary corrtainmew testing for., <br />❑ <br />❑ posifive shufdown MWel: _- — _ <br />uF)G(s� Piping <br />El Fall safe Serial V _ <br />Sump(6) _-_ _ UST(S) <br />© N+4 <br />171 <br />, <br />Testing for the above cornporleds are rima duo by, <br />sensor <br />13 p5luve shu'idown Model: <br />r7 fail We S$risl AV - -- <br />NOWQ.NA <br />itr]ol"t B rwgT;Y &.rnww. <br />_. . Grup Lube with M%hrallow overrll at 96% <br />Cold start of Wori t tiring panel <br />Corroslorr proleMn <br />❑ <br />,....'Ofap tube wlth mecM[►1 W overfill at 95% <br />❑ <br />® <br />Overllll prevention (SW LG letter 160-1) <br />❑ <br />Other. see below - <br />M This UST facciuty [a APPROVED tp optrmte rl nd,� UST facility Is NOT APPROVED to o"te <br />Siarvice Station:Systerns authorized TanknDlogy to perform the cold -9tert (112 11.2) during the <br />monitoring certification performed today. <br />All censors. passed, ve0ed positive shul down and fall ziaf*, aleo verified overfill Q 90% and PLU). <br />All Passed, <br />Tib IFACHI Y IS SUBJECT TO REINS ECTION AT ANY T1A111E AT EW9 CURRENT WUR.Y RATE, <br />EHD Izt5pMa,iv6d 8y- rrgw <br />%1/ ILif Y 12m <br />119r sEFi1nv.a gds]�Egi <br />