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DATE <br /> SAN JOAQUIN COUNTY PR# <br /> ENVIRONMENTAL HEALTH DEPARTNiL-..T PAGE \ ID's x- <br /> 304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name •1F.S Un�� � -Facility Address \5\O atC)- <br /> Facility Contact Cpp. ��� TitleS�,Swoet5L Phone # <br /> UST# Product UST# Product RQ�- UST# ^> Product c-,�� UST#Product ,c, <br /> Overfill�reventioP—E]AudibleNis�►al E5 //echanical Monitoring Panel(;��a p �C. <br /> Piping System: ❑ Gravity pressure ❑Suction l Violations: ❑ Minor ❑ Major <br /> Automatic Pum Shut D wn Satis ies CCR 2636 (g): [I Yes C�'N0 Dispenser Pan: ❑Yes ❑ No <br /> INSPECTION TYPE: outine onitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME: c>QijpT- TECHNICIAN NPHONE:AME: t �uu. <br /> VIOLATION(S) <br /> The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br /> California Code of Regulations (CCR): <br /> 1 HSC 25284 Permit to operate 20 CCR 2712 (b) Maintenance & monitoring <br /> 2 CCR 2637 Secondary cont testing (6 / records <br /> month/36 month) 21 J CCR 2636 (f)(4) Annual line tightness test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 22CCR 2630 (d) Annual line leak detector test <br /> 4 HSC 25292.2 Certification of financial 23 CCR 2630 (d) Annual monitoring certification <br /> responsibility and letter from 24 CCR 2643 (d) Daily monitoring of suction <br /> chief financial officer piping that is not continuously <br /> 5 CCR 2630 (d) Continuous monitoring system monitored for UST system 25 CCR 2643 (d) Triennial tightness test of <br /> 6 CCR 2636 (c)(1) All releases in secondary piping suction piping that is not <br /> continuously monitored <br /> flow to a collection sump <br /> 7 _HSC 25291 (e) Water in secondary(20)cont 2§ CCR 2643 (e) Biennial tightness test of gravity <br /> 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuously <br /> monitored <br /> 9 CCR 2636 (f)(1) Continuous monitoring system 27 CCR 2662 Upgrade requirements for UST <br /> for underground piping system <br /> 10 CCR 2632 (c)(2) Continuous monitoring system <br /> for UST 28 CCR 2661 Permit to repair UST system <br /> 11 HSC 25291(a)(2) Secondary containment for 29 HSC 25286 (a) Permit to alter monitoring <br /> UST is tight system <br /> Illegal abandonment of UST <br /> (a) <br /> 12 CCR 2636 (f)(1) Continuous monitoring system 30 HSC 252system <br /> for dispenser system <br /> 13 CCR 2635 (b)(1) Spill container 31 HSC 25298 (b) Permit to temporarily close UST <br /> 14 CCR 2635 (b)(2) Overfill prevention system system <br /> 32 HSC 25298 (c) Permit to close UST system <br /> 15__,/__CCR 2631 (a) Primary containment is product- 33 HSC 25291 (e) Water in 20 cont analyzed and <br /> tight <br /> 16 HSC 25292.1 UST system is operated to properly disposed of <br /> prevent unauthorized release 34 CCR 2640 (e) Single000' of Public Well no ELD <br /> 17 CCR 2650 Recording/reporting <br /> unauthorized release 35 CCR 2635(a)(2)(A) Cathodic protection testing <br /> 18 CCR 2632 (d) Monitoring &response plan 36 H&SC 25299(x)(9)Disabling leak detect. devices <br /> 19 CCR 2712 (i) Monitoring &response plan is 37 Violation(s) not listed above <br /> on site <br /> EHD INSPECTO PHONE: UQ -3 S <br /> RECEIVED BY: ( TLE: PHONE: <br /> UN ITII W STANSP(rev 3/5/02) <br />