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03-01-'11 13:11 FROM-West Star Envmt Inc. +559-277-0106 T-960 P0001/0001 F-711 <br /> P�E� i LEDDate: March 1,2011 Alb b W E S TAR L�°�w'� Requested By: RMONDA PARM <br /> EN_, NMENT, INC. Telephone: 559)277-9378x3005 <br /> SALES-ICWTRUCTIO -SERVICE Fax: 559)277 0108 <br /> 4658 W.15TE101,FA NoCA.93722 <br /> (559) 1$/ 559) 17.0105 <br /> 2 <br /> INSPECTION REQUEST <br /> .......................................................................................................................I......-.-._...-........----- <br /> Facility details <br /> APCD Permit# <br /> Facility Name: SUPER STOP Contact Name: MANDEEP 2092394475 <br /> Facility Address: 290 MAIN ST Telephone: (559)935-4325 <br /> City/State/Zip MANTECA 95336 Fax: <br /> Schedule Type: <br /> Facility Start-up ® Routine Compliance El Cancellation 0 Reschedule 1:1 Retest <br /> Air Pollution Control DistrictEnvironmental ea Dept. <br /> Attention: _ Attention: AREA INSFF=G'l UK <br /> Phone Number: Phone Number: 209 468-3240 <br /> Fax Number: Fax Number: 209 454- 138 <br /> a� <br /> Test Time: Test Time: 0310T/-11@ 1 <br /> TP201.1 B-Static Torque x Annual Monitoring(&SpillBuckets) <br /> TP201.1 C/D-Drop Tube Spill Buckets Only <br /> TP201.1 E Leak Rate&Pressure S8989 Test <br /> TP 201.3 Leak Decay(ST30) SB989 Repair&Retest <br /> 0 TP 201.3B Leak Decay(ST38) Mechanical Leak Detector Test <br /> X TP201.4 Back Pressure(ST27) Pressure Line Test <br /> TP201.5 Air to Liquid Ratio(A/L) 0 Cathodic Protector <br /> TP201.6C Liquid Removal Integrity Tightness <br /> P WL(Vapor over Liquid) Designated Operator Inspection <br /> �X ❑ HIRT-Liquid Removal(G-70-139) 0 Primary Piping Inspection <br /> HIRT-Pressure Test(G-70-139) 0 Secondary Piping Inspection <br /> PREVENTATIVE MAINT, Temporary UST Closure Inspectic <br /> VR201 (Clean Air Separator) Helium Test <br /> Healy Fillneck Vapor Pressure Preventative Maintance <br /> Regulation(G-70-187) <br /> ri Healy Vapor Return Line Vacuum I AM $O SORRY TO HAVE TO RESCDL THIS <br /> Integrity(G-70-187) AGAIN WAS SET FOR 03/03/11 <br /> 0 ISD Operability 3 TESTS <br /> Healy Dispenser Vapor Line Integrity <br /> Inspector acknow edgement: Inspector acknowledgement: <br /> Confirmation#: Confirmation#: <br /> Customer Acknowledgement [:]On Account Trav/MI <br /> ❑APCD Acknowledgement COD Permit <br /> OEHD Acknowledgement ©Contract Rates Fee to Obain <br />