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FROM FAX NO. :2093699162 c. 02 2009 10:19AM P7 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEEPARTIMENT <br />600 East Main Street. Stockton, CA 96202 <br />(209) 468-3433 Web: <br />Irelaphone; (209) 468-3420 Fax. d <br />UNDERGROUND STORAGE TANK (UST) PROGRAM SERVICE REQUEST INSPECTION REPORT <br />Faclity —Nome. wpocuon <br />-P k-24 <br />0 1 overfill prevention (sae LG letter I SO -1) <br />EMD 23-04 <br />Rev •11117=6 <br />SERVICE <br />f Spill bucke' 0 minimum 5 gallon <br />0 1 hour hydrostatic 0 Incon TS -$T$ <br />C7, Caldwel!'System 0 other <br />Sped bucket C:] ininimum 5 gallon <br />C- 1 rostetG 0 Iricon TS -STS <br />0 C System 13 Other <br />SP i ill bucket C., minimum 5 gallon <br />L:; <br />1 hour hydrostatic 0 Incon TS -STS <br />Cs Caid-wall'System 0 Other <br />Frlinay piping testing at: <br />Psi; <br />minutes <br />1 Secondary containment testing for: <br />UDC(s) Piping <br />Sump(s) UST(s) <br />Testing for the above components are next due by, <br />-Owl pleaue eq SbAwe sk, 2. oonmw--mmt *w boo"..r.mare rawfed W be teved upcm <br />eta, -r.: ;i -Tzmt- aper. f; me -ft *--reafter <br />Cold start of monitoring panel <br />C3 Corrosion, prate-ton <br />Other. see Wow <br />i0 W <br />F, mm <br />q Wit j I I Tij FTNA' <br />UST SEMACE RE -QUEST <br />Leak detector <br />❑ <br />I <br />0 mechanical <br />Model; <br />C1 electronic <br />Serial <br />0 tins test RM"am"Od <br />Leak detector <br />❑ <br />0 mechanical <br />Model: <br />13 electronic <br />Serial #-. <br />Cline test prorammed <br />Leak detector <br />0 Meehan Gal <br />Model: <br />C3 electronic <br />Serial <br />0 line testa <br />❑ <br />0 positive shutdown <br />Model' <br />fail safe <br />Serial <br />0 NA <br />sanest <br />13 <br />[3 positive shutdvj6Ti <br />Model: <br />0 fail safe <br />Serial. <br />El NA <br />sensor <br />0 positive shutdown <br />Model: <br />LO <br />0 fail safe <br />Serial'#: <br />IONA <br />Drop tube with <br />mechanical overfill at 95% <br />Drop tube with mechanical overfill at 95%, <br />0 1 overfill prevention (sae LG letter I SO -1) <br />EMD 23-04 <br />Rev •11117=6 <br />SERVICE <br />f Spill bucke' 0 minimum 5 gallon <br />0 1 hour hydrostatic 0 Incon TS -$T$ <br />C7, Caldwel!'System 0 other <br />Sped bucket C:] ininimum 5 gallon <br />C- 1 rostetG 0 Iricon TS -STS <br />0 C System 13 Other <br />SP i ill bucket C., minimum 5 gallon <br />L:; <br />1 hour hydrostatic 0 Incon TS -STS <br />Cs Caid-wall'System 0 Other <br />Frlinay piping testing at: <br />Psi; <br />minutes <br />1 Secondary containment testing for: <br />UDC(s) Piping <br />Sump(s) UST(s) <br />Testing for the above components are next due by, <br />-Owl pleaue eq SbAwe sk, 2. oonmw--mmt *w boo"..r.mare rawfed W be teved upcm <br />eta, -r.: ;i -Tzmt- aper. f; me -ft *--reafter <br />Cold start of monitoring panel <br />C3 Corrosion, prate-ton <br />Other. see Wow <br />i0 W <br />F, mm <br />q Wit j I I Tij FTNA' <br />UST SEMACE RE -QUEST <br />