Laserfiche WebLink
P4u1N <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N. '. 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.s6gov.org/ehd <br /> 4 C j F 0•�ea <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br /> Facility Name: Inspection Date: <br /> Cruisers # 29 Thursday, July 21, 2011 <br /> Facility Address: Service Request#: <br /> 1137 W Lathrop Road, Manteca SR0062544 <br /> Onsite service Technician's Name: ICC Service Technician/Installer Exp.Date: Manufacturer Training: <br /> Ceasar Rodriguz 18028973UT - 1/13/12 1 VR - 10/20/11, VMI - 12/11 <br /> SERVICE SERVICE <br /> Leak detector Spill bucket ❑ minimum 5 gallon <br /> El mechanical Model: <br /> ❑ ❑ ❑ 1 hour hydrostatic ❑ Incon TS-STS <br /> ❑ electronic Serial#: ❑ Caldwell System ❑ Other <br /> ❑ line test programmed <br /> Leak detector <br /> ❑ mechanical Model: Spill bucket ❑ minimum 5 gallon <br /> ❑ ❑ ❑ 1 hour hydrostatic ❑ Incon TS-STS <br /> ❑ electronic Serial#: ❑ Caldwell System ❑ Other <br /> ❑ line test programmed <br /> sensor <br /> ❑ ❑ positive shutdown Model: ElPrimary S piping testing at: <br /> ❑ fail safe Serial#: <br /> ❑ NA minutes <br /> sensor Secondary containment testing for: <br /> ❑ ❑ positive shutdown Model: UDC(s) Piping <br /> ❑fail safe Serial#: Sump(s) UST(s) <br /> ❑ NA <br /> sensor ❑ Testing for the above components are next due by: <br /> ❑ ❑ positive shutdown Model: <br /> ❑ fail safe Serial#: Note Please be aware that 21 containment components are required to be tested upon <br /> ❑ NA installation,6 months after.and every 36 months thereafter. <br /> ❑ Drop tube with mechanical overfill at 95% ❑x Cold start of monitoring panel <br /> ❑ Drop tube with mechanical overfill at 95% ❑ Corrosion protection <br /> ❑ Overfill prevention (see LG letter 150-1) ❑ Other: see below <br /> ❑ This UST facility is APPROVED to operate ❑ This UST facility is NOT APPROVED to operate <br /> Cold start due to software upgrade. Verified sensor functionality. Positive shut down, and fail safe. All <br /> passed except L 3 -91 double wall sump brine sensor. It would not go into alarm when removed from <br /> the brine. All three leak detectors were tested and passed. Also verified 90% on the overfill. <br /> The automatic tank gauge used as the overfill prevention system is not currently functional due to the <br /> absence of the floats on the 87 UST. Immediately discontinue deposition of petroleum into this tank <br /> until the component is repaired or replaced by a properly licensed, trained, and certified contractor <br /> under permit and inspection of the EHD. If the failed component can't be replaced immediately, there <br /> is a possibility that the 87 UST system may be red ta�ged to prevent fuel inputs CCR 2635( <br /> Verified 90% on the 91 and diesel overfill - passed , 06(-c L <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector. t•� /��A Received By:� Title: <br /> EHD 23-04 UST SERVICE REQUEST INSPECTION REPORT <br /> Rev 10/06/10 <br />