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Triangle Environmentall c <br /> UST FACILITY INSPECTIONIAUDIT SHEET <br /> Facility: Test Date: 12/13/2000 <br /> Tosco Facility # 05448 <br /> 3202 W HAMNER LN <br /> STOCKTON, CA 95209 <br /> County: SAN JOAQUIN <br /> Cross Street: HAMNER LN/KELLY Work#: SS1100 <br /> Status Type Number of <br /> N=Not Present or Observed Disp. Doses <br /> C=Coaxial P= Pressure F=Flet <br /> S=Satisfactory <br /> D=Dual A=Angle Check M=Metatic <br /> U=Unsatisfactory N=No Stage I V=vertical cn«n Regular: 4 8 <br /> Fill Cover: S Plus: 4 8 <br /> Fill Cap: S Fill Type: D Premium: 4 8 <br /> Fill Cap Seal: S Product Line Type: P Diesel: 0 0 <br /> Drop Tube: S Tank Swing Joint Type: F Kerosene. 0. 0 <br /> Strike Plate: G Dispenser Swing Joint Type: F <br /> Total#of Gas Nozzles: 8 <br /> V/R Cover: S Status <br /> N—Not Present Stage D <br /> `/R Cap. S S=Satisfactory <br /> U=Unsatisfactory B=Balance <br /> V/R Seal: S Impact Valve: S A=Aaist <br /> V/R Dry Break: S Vertical Check Valve: N System Type: A <br /> Sub Pump: S Fill Spill Containment: S Assist Mfgr: Gilbarco <br /> Sub Pump Cover: S Fill Spill Mfgr: OPW <br /> Overfill: S Dispenser Containment: S <br /> Overfill Mfgr: OPW Sub Pump Containment: S <br /> Comments: <br /> Compliance Detail: (List items that need immediate attention.) <br /> 6/j <br />