COMPLIANCE INFO_2012-2018 - Laserfiche WebLink

Home Browse Search

AQU f !y �o co SAN JOAQUIN COUNTY ANVIRONMENTAL e: :a HEALTH DEPARTMEN 1868 East Hazelton Avenue, Stockton, CA 95205-6232 '° Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd q�IFOR�` SERVICE Leak detector ❑ ❑ mechanical Model: ❑ electronic Serial #: ❑ line test programmed ❑ Leak detector ❑ ❑ mechanical Model: ❑ electronic Serial #: ❑ ❑ line test programmed sensor ❑ ❑ positive shutdown Model: ❑ 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 LIS letter 150-1) This UST facility is APPROVED to operate SERVICE Spill bucket minimum 5 gallon r 1 hour hydrostatic ❑ Incon TS -STS ❑ Caldwell System ❑ Other Spill bucket ❑ minimum 5 gallon ❑ ❑ 1 hour hydrostatic ❑ Incon TS -STS ��FA 4EHbD ❑ Caldwell System ❑ Other Primary piping testing at: ❑ psi minutes Secondary containment testing for: 6 UDC(s) _ _ Piping Sump(s) I UST(s) Testing for the above components are next due by: Note: Please be aware that 2° 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 Wo OIL ♦� r �' .. . THIS FACILITY IS SUBJECT TO . ._ -_ - - i r1M1lIll ir.le in er900-1 ��FA 4EHbD EHD 23-04 UST SERVICE REQUEST INSPECTION REPORT Rev 4/30/12