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OIL EQUIPMENT SERVICE STATE LICENSE No.323417 <br /> CLASSIFICATION: A- IAZ.,C611140 <br /> Division of Keith A. Tallia, Inc. r STATE ENVIRONMENTAL ASSESSOR No,01781 <br /> D <br /> ' -,I / <br /> " -" Telephone: (209)754-1808 <br /> DEC 0 4 2002 Fax: (209)754-5726 <br /> Post Office Box 950 <br /> 750 Industrial Way <br /> ENVIRONMENT HEALTH SAN ANDREAS,CALIFORNIA 95249 <br /> PERMIT/SERVICES Date: November 25, 2002 <br /> TO: San Joaquin County Environmental Health Department <br /> 304 E. Weber Ave. , F1. 3 <br /> Mailing Address <br /> 9tonktnn CA 95201 <br /> City Zip Code <br /> ATTN: UST Coordinator <br /> SUBJECT: Three Palms Grocery <br /> Facility <br /> 6732 E. Waterloo Rd. <br /> Address <br /> Stockton CA 95215 <br /> City State Zip Code <br /> Dear Coordinator, <br /> This is to advise that on November 21 2002 our <br /> technician performed the following tests and or certifications <br /> on the motor fuel storage and dispensing system at subject site: <br /> Tank integrity Test <br /> Dynamic Backpressure Test <br /> Pressure Decay Test <br /> _g Monitoring System Certification <br /> Line Leak Detector Certification <br /> Under Dispenser Containment Certification <br /> Impact Valve Certification <br /> Cathodic Protection Certification <br /> Double Containment Pipe Test <br /> X Under Dispenser Sump Test <br /> Piping Sumps on Tank Test <br /> Enhanced Leak Detection Test <br /> The work sheets and results of these tests are attached. <br /> Si y, <br /> � Qt � K t A. 11 a, resident <br /> cc: Three Palms Grocer y@� <br /> i. <br /> Customer �r,NAT.vl y <br /> J 02-415file y k N <br /> m <br /> u�d l N <br /> d � <br />