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0 0 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax.(209)468-3433 Web:www.s6cehd.com <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> FacilityInspection <br /> -l ( ��/n� <br /> Name: t ''( T Address: W] �/I NIH . , .+ UA_ Date: <br /> UST System Observations V R COS <br /> 330 CCR 2717.1(f) Deposited petroleum Into a red tagged UST(V746) ❑ ❑ ❑ <br /> 331 HSC 25299(f)(2) Tampered with or disabled leak detection devices or alarms(V692) ❑ ❑ ❑ <br /> 332 CCR 2631.1 UST system not compatible with the substance stored(V751) ❑ ❑ ❑ <br /> 333 HSC 25298(b) Failed to comply with temporary closure requirements(V747) ❑ ❑ ❑ <br /> 334 HSC 25298(c) Failed to comply with permanent closure requirements(V748) o o ❑ <br /> Non-Pressurized Piping V R COS <br /> 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve(V705) ❑ ❑ ❑ <br /> 402 CCR 2643(d) Daily monitoring of suction pipe(pre-Jan 1964)not performed(V726) ❑ ❑ ❑ <br /> 403 CCR 2643(d) Triennial 0.1 gph line test forconventional suction piping not performed(pre-January 1984)(V664) ❑ ❑ ❑ <br /> 404 CCR 2643(e) Biennial 0.1 gph test for gravity piping not performed(pre-January 1984)(V665) ❑ ❑ ❑ <br /> Other Violations V R COS <br /> 2010 See below Unlisted Administration/Documentation violation(V736) ❑ ❑ ❑ <br /> 2030 See below Unlisted Operations/Maintenance violation(V743) 0 0 0 <br /> 2060 See below Unlisted Design'Construction violation(V745) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply <br /> SI SIM 7N: Mmf `"ON <br /> # l03 aw Irkla/_",bl k �Ie <br /> er� <br /> i KW_1t <br /> _ <BYS .C=m ,C9. V tt nen \ <br /> 'All cltN z �& fP/ o1J S -Is J <br /> -16 Le. - 4k 66 T- b-A <br /> IQ a w o I N LC )-w <br /> u2 tAT u l 5-G C aN 61�[ <br /> red ,C i nuc <br /> k�, 0. l% j(At4 oN �b Ak 1AG <br /> DvhI&qA 41pt 6z k4 s � <br /> avfix Nal )L1L$ _ftl 4A( I CU I ont . <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED ATTHE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> eceive by(sigma re): Title: L dl! Y Date: j <br /> RC1 <br /> Rem by(printed name): imp pe r one: <br /> EHD 23-01 REV 08/07/15 Pa 3 UST INSPECTION REPORT <br />