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Facility Name: <br />Item # <br />San Joaquin County <br />Environmental Health Department JUN 2 3 2015 <br />1868 East Hazelton Avenue, Stockton, California95205-623 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov./ehd <br />Underground Storage Tank Program Inspection teport <br />^TIr) I T,0770') <br />Facility Address: k Date: <br />KvvY. STOCKION i> <br />SUMMARY OF VIOLATIONS t <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />_._ Remarks _ <br />CCR 2636(1)(2) Leak detector failed to detect a 3 0 gph leak at 10 psi. <br />All line leak detors shall be capable of <br />tl a' cony a 3 gallon per hour leak, at i ri nsi Tt1P, SP.'�JI .F' fpClll !c`! 1n sI}l^n�if"i thr' 'ttn+ let valve and purged the line <br />retested it. and it passed Tt <br />I .- n .- Deal viola';:,, C1. <br />Overall Inspection Comments: <br /><< ubaw, of the. ur Dcation forn ,i e END with a statement <br />documenting the corrective actions that have been or will be taken for each violaho and any supporting <br />paperwork by April 30 2016 <br />Please be aware that as of January 1, 2014. facility operators are required to uploa he following US -1 program <br />documents into the California Environmental Reporting System (CERS) UST Monl ing Site Plan UST <br />Certification of Financial Responsibility UST Response Pian UST Letter from Chi inanc{al Officer (if <br />applicable), and the Owner Statement of Desianated Operator Compliance The T Ov,,ner/Operator Written <br />Agreement if applicable. can be stored at the facility or uploaded into CERS <br />NOTES <br />Verified all sensors at lowest point <br />Filled out UST Retrofit With Inspector Already Onsite for replacing the S3 sensor Id the S5 sensor floc <br />4FTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES Ir <br />FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S Received by:Date: Inspector: t <br />Printed Name and Title: <br />Page 4 of 4 <br />,TED WITH BRINGING THIS <br />ENT HOURLY RATE. <br />Inspector Phone: <br />