Laserfiche WebLink
401,N <br /> SAN JOACUIN COUNTY to <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 600 East Main Street, Stockton, CA 95202-3029 <br /> . � Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.orq/ehd <br /> 5�/FORS <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br /> Facility Name: Inspection Date: <br /> SRH Food & Gas Thursday, March 17, 2011 <br /> Facility Address: Service Request#: <br /> 749 E. Charter Way, Stockton SR0056531 <br /> Onsite Service Technician's Name: ICC service Techniciannnstaner Exp. to: Manufacturer Training: <br /> Benjamin Duncan 4/11/11 Tank Tester x. 12/31/13 <br /> SERVICE SERVICE <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 <br /> ❑fail safe Serial#: _minutes <br /> ❑ NA <br /> sensor Secondary containment testing for: <br /> ❑ ❑ positive shutdown Model: UDC(s) Piping <br /> ❑fail safe Serial#: Sump(s) 87 & 91 UST(s) <br /> ❑ NA 0 <br /> sensor Testing for the above components are next due by: <br /> ❑ positive shutdown Model: <br /> El <br /> ❑fail safe Serial#: Nom.. PleaseE aware Mal 2'wNainnmrd components are required to tested upon <br /> ❑ NA ns aNation,6 momns ager,and every 36 monMs MamaRer. <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Cold start of monitoring panel <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Corrosion protection <br /> ❑ I Overfill prevention(see LG letter 150-1) ❑ Other: see below <br /> ❑ This UST facility is APPROVED to operate 0 This UST facility is NOT APPROVED to operate <br /> Witnessed secondary containment testing of 87 and 91 USTs at 10 PSI for 60 minutes. Both passed. <br /> The turbines in all three tanks are still disconnected from electrical. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TiW AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: ed By: Title: <br /> Kv— �_ 'e <br /> EHD 2309 UST SERVICE REQUEST INSPECTION REPORT <br /> Rev 10/06/10 <br />