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DATE 3 <br /> SAN JOAQUIN COUNTY PRI; <br /> *VIRONMENTAL HEALTH DEPARTMENT PAp <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> FacilityNamefvril (S URlyer(^5ftl r� facility Address I4V5 CAh6tf 'fAr 'St • FS A (oe <br /> Facilty Contact 1 4lLb Title I o24 54x� Phone # $ - 76 7 <br /> UST# Li ProductU v UST# S Product ��, UST#Product- �S _-_- UST# (_Product <br /> Overfill Prevention: D Audible/Visual ;dMechanical`4 Monito (r ng Panel: Gl1h*'fp FiuC� <br /> Piping System: D Gravity ,CPressure D Suction Violations: 0 Minor 0 Major <br /> Automatic Pump Shut Down Satisfies CCR 2636 5Yes No Dis enser Pan: Yes 0 No -riM E 4G <br /> INSPECTION TYPE: XRoutine)gMonitoring Certification OComplaint Dlnstall ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME:CWjIv%Poibn TECHNICIAN NAME: Cl 42A,^ a_-,5 PHONE&I Ilo <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�CCR 2636 (f)(4) Annual line tightness test <br /> 3 V CCR 2711(b)& (c) Current State Forms A& B 22 CCR 2630 (d) Annual line leak detector test <br /> 4HSC 25292.2 Certification of financial 23CCR 2630 (d) Annual monitoring certification <br /> responsibility and letter from 24CCR 2643 (d) Daily monitoring of suction <br /> chief financial officer piping that is not continuously <br /> 5 CCR 2630 (d) Continuous monitoring system monitored <br /> for UST system 25 CCR 2636 (a) Conventional suction piping <br /> 6 CCR 2636 (c)(1) All releases in secondary piping shall have continuous <br /> flow to a collection sump monitoring &20 containment <br /> 7 HSC 25291 (e) Water in secondary(20)cont 26 CCR 2643 (e) Biennial tightness test of gr <br /> 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuousf <br /> 9 CCR 2636 (f)(1) Continuous monitoring system monitored n <br /> for underground piping 27 CCR 2662 Upgrade requirements for UST <br /> 10 CCR 2632 (c)(2) Continuous monitoring system 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 /> 12 CCR 2636 (f)(1) Continuous monitoring system 30 HSC 25298 (a) Illegal abandonment of UST <br /> for dispenser system system <br /> 13___,,,/ CCR 2635 (b)(1) Spill container 31 HSC 25298 (b) Permit to temporarily close US- <br /> 14 CCR 2635 (b)(2) Overfill prevention system system <br /> 15 CCR 2631 (a) Primary containment is product- 32 HSC 25298 (c) Permit to close UST system <br /> tight 33 HSC 25291 (e) Water in 20 cont analyzed and <br /> 16 HSC 25292.1 UST system is operated to properly disposed of <br /> prevent unauthorized release 34 _CCR 2640(e) Single wall component within <br /> 17 CCR 2650 Recording/reporting 1 000'of Public Well, no ELD <br /> / unauthorized release 35 _CCR 2635(a)(2)(A)Cathodic protection testing <br /> 18 �/ CCR 2632 (d) Monitoring &response plan 36 H&SC 25299(a)(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 INSPECTOR: 6,41 V M r�PHONE: b q " <br /> RECEIVED BY: .TITLE: <br /> UNMI W MNSP(rev 72402) <br />