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Work Order: 2248469 <br /> SAN JOAQUIN COUNTY <br /> ENviRoNMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,P Floor,Stockton,CA 95202.2708 <br /> Mephome.(209)468-3420 Fax:(209)468-3433 Web:www.&j60V.or&i6bd <br /> UNDF-RGRIDUND STORAGE TANK LVM PROGRAM SERVICE REQUEST INSPECTION RIEPOWf <br /> utility S.— bef- <br /> Facility Addren, Srry <br /> C75 <br /> 04kshe qavLn Technician's Namut ICC6, Mit"theturerTraialre. <br /> SERVICE SERVICE <br /> ', Leak detector <br /> 0 minimum 5 gallon <br /> D mechanical Model: Spill bucket <br /> 0 1 hour hydrostatic El bicon TS-STS <br /> �R electronic Serial 4 ®Caldwell System 17 Other <br /> 0 line test programmed <br /> Leak detector Spill bucket 0 minimum 5 gallon <br /> ❑ 0mechanical Model: --- <br /> 0 electronic Serial 4: 0 E-1 1 hour hydrostatic 0 Incoa TS-STS <br /> 0 line!EEpro,rammed 0 Caldwell System 0 Other <br /> Leak cit tectDr <br /> 0 mechanical Model.- -Spill bucket 0 minimum 5 gallon <br /> ❑ 13 111 hour hydrostatic 0 [neon TS-STS <br /> 0 electronic Serial El Caldwell System 11 Other <br /> line test prog��qimed <br /> sensor <br /> 0 positive shutdown Model: 0 Primary piping testing at: <br /> 0 fail safe Serial#: _ps i <br /> DNA minutes <br /> sensor Secondary piping testing at: <br /> D 0 positive shutdown Model: 0 --psi <br /> 0 fail safe Serial ft, <br /> ©NAminutes <br /> sensor Secondary containment repairs for: <br /> 0 0 positive shutdown Model: 11 UDC(s) Piping <br /> 0 fail safe Serial A: • <br /> 171 NA UST(S) <br /> 0 . Drop tube with inochartical overfill at 95% 0 Cold start of monitoring panel <br /> Drop tube with modhanical overfill at 95% 0 Corrosion protection <br /> 0 Overfill prevention(see LG letter 150-1) 0 Other see below <br /> THIS FACILITY IS SUBJECT TO REINSPECTIOW AT ANY TIME AT END'S CURRENT HOURLY RATE. <br /> EHD1nzper,1 11y: <br /> EH 2.1-04 <br /> Tanknology Inc.8900 Shoal Creek,Building 200 Austin,Texas 78757 <br />