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FACM 2133 <br />ADDRESS: 2908 Benjamin Holt, Stockton, CA <br />C] <br />DATE: 4/5/11 <br />Note: All deficiencies should be communicated to the appropriate Environmental Compliance Specialist. <br />eMaintenance Ticket# Technician: Omar Ruiz Company: Fastech <br />9749046 <br />Leak <br />No <br />Repaired <br />87 <br />87 <br />91 <br />Leak <br />On-site Y/N <br />Octane <br />Octane <br />Octane <br />Octane <br />(Master) <br />(Slave) <br />❑ <br />® <br />Fill/Vapor Caps Functional <br />YES <br />YES <br />YES <br />Dispenser Piping <br />Y/N <br />Fill or Turbine sump lids and <br />❑ <br />® <br />gaskets in place and good <br />YES <br />YES <br />YES <br />Hoses <br />condition (Y/N) <br />Test Boots Pulled Back in <br />❑ <br />® <br />Sumps (Y/N) <br />YES <br />YES <br />YES <br />Nozzles <br />El® <br />Fills Tagged Properly (Y/N) <br />YES <br />YES <br />YES <br />Dispenser Fittings <br />Top of 45 Degree Taper <br />Submerged Pumps <br />❑ <br />® <br />LESS THAN 6 inches from <br />YES <br />YES <br />YES <br />Fittings <br />Tank Bottom (Y/N) <br />Overfill Valves/Flapper <br />Filter Warning signs <br />❑ Yes <br />® No <br />Valves set at 95% of Tank <br />NA <br />NA <br />NA <br />Y/N <br />Capacity? /N or N/A <br />Ball Floats set at 90%/30 <br />Pulsar Seals (Y/N) <br />❑ Yes <br />® No <br />minutes of Tank Capacity? <br />NA <br />NA <br />NA <br />(Y/N or N/A) <br />Nozzles > 5 yrs old? <br />❑ Yes <br />® No <br />Annular sensor at the <br />(Y/N) (notify <br />lowest point in the annular <br />YES <br />YES <br />YES <br />operator) <br />space? (Y/N or N/A) <br />WOR/NYC Only: All <br />® Yes <br />❑ No <br />For single wall tanks: <br />sensors set for <br />'notify the <br />Are tank bottom protectors <br />positive shutdown? <br />ECS <br />present? (Y/N) <br />Any equipment <br />® No <br />Provide the measurements <br />bypassed, disabled <br />❑ Yes <br />of the annular sensor: <br />or out of s ec? <br />*notify the ECS <br />For Fiberglass tanks: <br />Comments: <br />Length of the riser + <br />[(3.14 * tank diameter)/2] _ <br />For steel tanks: <br />129 132 148 <br />Length of the riser + <br />the diameter of the tank = <br />Note: All deficiencies should be communicated to the appropriate Environmental Compliance Specialist. <br />eMaintenance Ticket# Technician: Omar Ruiz Company: Fastech <br />9749046 <br />