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02-25-'11 11;10 FROM-West ar Envmt Inc. +559-277-0106 T-924 P0001/0001 F-661 <br /> PEiN M[ � Vate: <br /> WNE S TA_R 'Yw.QE'J Requested By: RH FebruaryDA PAH'KES <br /> EN ;II�mew INC. Telephone: (559)2779378x3005 <br /> SALES- TRUCTIO -SERVICE Fax: (559)277-0106 <br /> 4688 W.7eµN ,STE 101,Fae µo,CA.93722 <br /> (559)27 378/ 559) 77-0105 <br /> Lic - <br /> INSPECTIQN REQUEST <br /> Facility Details <br /> APCD Permit# <br /> Facility Name: SUPER STOP Contact Name: MANDEEP <br /> Facility Address: 290 MAIN STREET _ Telephone: (209)239.4475 <br /> City/State/zip MANTECA CA 95336 Fax: (209)823-7722 <br /> Schedule Type: <br /> Facility Start-up Routine Compliance ❑ Cancellation [:] Reschedule Retest <br /> Air Pollution Control u1sinctEnvironmental ea ep . <br /> Attention: Attention; AFIF-A IN <br /> Phone Number: phone Number: 209 488.3420 <br /> Fax Number: Fax Number: (2091464-0138 <br /> S <br /> Test Time: Test Tim 02/25/11 Q 10 AM <br /> TP201.1 B-Static Torque X Annual Monitoring(&Spill Buckets) <br /> TP201.1C/D- Drop Tube Spill Buckets Only <br /> TP201.1 E Leak Rate&Pressure S8989 Test <br /> ro y TP 201-3 Leak Decay(ST30) SB989 Repair& Retest <br /> ci t� ❑ TP 201.313 Leak Decay(ST38) �` Mechanical Leak Detector Test <br /> E] TP201.4 Back Pressure(ST27) ` Pressure Line Test <br /> TP201.5 Air to Liquid Ratio(A/L) T"� Cathodic Protector <br /> TP201.6C Liquid Removal- Integrity Tightness <br /> V/L(Vapor over Liquid) Designated Operator Inspection <br /> a HIRT-Liquid Removal (G-70-139) Primary Piping Inspection <br /> HIRT-Pressure Test(0-70-139) 10 H Secondary Piping Inspection <br /> Nozzle Bag Test Temporary UST Closure Inspectic <br /> ❑ VR201 (Clean Air Separator) Helium Test <br /> Healy Fillneck Vapor Pressure Preventative Maintance <br /> Regulation (G-70-187) <br /> ❑ Healy Vapor Return Line Vacuum <br /> Integrity(G-70-187) <br /> ISD Operability INCON <br /> Healy Dispenser Vapor Line Integrity <br /> Inspector ackn1wedgement: Inspector acknowledgement; <br /> Confirmation #: Confirmation #: <br /> ester Information M // <br /> []Customer Acknowledgement []On Account Trav/Mi <br /> 1:1APC1)Acknowledgement COD Permit <br /> []EHD Acknowledgement []Contract Rates Fee to Obain <br />