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Tank and Monitor Summary <br />Location Pacific Bell Geo Parcel UE -148 <br />Address Redwood & 6th St CLLC: SKTNCA14 <br />City Stockton Tank # 807 <br />County San Joaquin _ Tank Permit # e S25S <br />Zip 9 5 2 0 5 _ Expiration Date <br />Inspection Record <br />Underground Storage Tank <br />Tank Size:2000 Db arod Dsl 1 level a@ test 1491 dal. 63 . 6 Monitor�4 . ° Stick <br />Agency requiring Certification: San Joaquin H e a l t h <br />Agency signature: N/A n _ required to be on site?N o <br />Required Testing: Tank: Annual Annually Linea: Annual Annually <br />Testing Permit Required Yes No <br />Test Type:y1---_--- <br />Test Date: <br />Test Performed By: Company Dialysis Company <br />Contact: James and Tamara Zimmerman <br />Phone Number ( 800) 227-787.9 _ <br />Tested By: James Zimmerman license # 90-1180 <br />Test Results: Pass/ Fail <br />Remarks: T;;13k and 1 i ne testi Ilg_.arp nnE re uirgd on a doubi <br />per__azienQv, follows State Regulation. <br />Monitoring System <br />Manufacturer: Veeder Root Model: TLS -250 <br />Agency Requiring Certification San J o a-gu i n Health <br />Agency Signature: N / A Required to be on site? no Date: 9 / 19 / 9 5 <br />Required Testing: XX Annual Semi -Annual Annually <br />Testing Permit Required: Yes XX No <br />Test Type: Annual Monitor Test <br />Test Date: -9/19/95 <br />Test Performed By; Company Dialysis Company <br />Contact: James and Tamara Z in nerman <br />Phone: _ ( 800) 227-7879 <br />Tested By: James Zimmerman ��- <br />Test Results: P a s s Pass / Fail <br />Remarks: Certified one TLS -250 console the Parcel and <br />urobe were found to be functioning per manufacturers <br />sQecifications. This site is also eguijped with a API <br />Ronan Monitor, alarms workin�l ;properly. <br />Date of Next Test: 9/19/96 <br />Ser. #9553 <br />