COMPLIANCE INFO_2012-2018 - Laserfiche WebLink

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'oAqu �ry,..co SAN JOAQUIN COUNTY CO.- X ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <<FOR SERVICE Leak detector "Ode mechanical r ❑ electronic Serial #:OSR i:11111111111111KIT��l/ ❑ line test programmed F-10 Leak detector mechanical Model: r ❑ electronic Serial #: ❑ ❑ line test programmed 411 Sq 1411r,11UPTAIEINSP,, sensor ❑ ❑ positive shutdown Model: Received B ❑ fail safe Serial #: ❑ NA ❑ sensor ❑ ❑ positive shutdown Model: ❑ ❑ fail safe Serial #: ❑ ❑ NA ❑ sensor ❑ ❑ positive shutdown Model: ❑ fail safe Serial #: ❑ NA ❑ Drop tube with mechanical overfill at 95% ❑ Drop tube with mechanical overfill at 95% ❑ Overfill prevention (see LG letter 150-1) This UST facility is APPROVED to operate SERVICE Spill bucket minimum 5 gallon 1 hour hydrostatic ❑ Incon TS -STS r ❑ Caldwell System ❑ Other i:11111111111111KIT��l/ Spill bucket ❑ minimum 5 gallon F-10 1 hour hydrostatic ❑ Incon TS -STS ❑ Caldwell System ❑ Other Primary piping testing at: ❑ psi 1411r,11UPTAIEINSP,, minutes Secondary containment testing for: Received B UDC(s) Piping Sump(s) UST(s) ❑ Testing for the above components are next due by: Note: Please be aware that 2e containment components are required to be tested upon installation, 6 months after, and every 36 months thereafter. ❑ Cold start of monitoring panel ❑ Corrosion protection ❑ Other: see below ❑ This UST facility is NOT APPROVED to operate EHD 23-04 UST SERVICE REQUEST INSPECTION REPORT Rev 10/06/10 r i:11111111111111KIT��l/ IMI 1411r,11UPTAIEINSP,, Received B EHD 23-04 UST SERVICE REQUEST INSPECTION REPORT Rev 10/06/10