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DATE -7h 1012- <br /> SAN JOAQUIN COUNTY PR# <br /> ENVIRONMENTAL HEALTH DEPARTMENT PAGE <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 <br /> mrn VJA <br /> �- L�'"Facility Address ��� S Alf 9r� <br /> Facilty Contact 8rbt'i,— 51 SA Title L)yc p-vk- S V . Phone#_ -- 1 MQ <br /> UST# ' Product_ UST#Product UST# Product UST# Product <br /> r <br /> Overfill Prevention p AudibleNisual ❑ Mechanical Monitoring Panel: <br /> violations: ❑ Minor ❑ Major <br /> Piping System: 4 Gravity 11 Pressure ❑Suction <br /> Automatic Rum Shut Down Satisfies CCR 2fi3fi ❑Yes [I No Dispenser Pan: ❑ Yes ❑ No <br /> INSPECTION TYPE: �Rautine ❑Monitoring Certification ❑Complaint ❑Install []Removal ❑RepairlUpgrade <br /> COMPANY NAME: <br /> TECHNICIAN NAME: PHONE' <br /> VIOLATION(S) <br /> The above facility is not in complianceo th he following <br /> Ing section(s) <br /> e tio (CCR):Health Safety Code (HSC) and/or <br /> Cal <br /> 20 CCR 2712 (b) Maintenance & monitoring <br /> 1 HSC 25284 Permit to operate records <br /> 2 CCR 2637 Secondary cont testing (6 1CCR 2636 (f)(4) Annual line tightness test <br /> month/36 month) �t22:tCCR 2630 (d) Annual line leak deteckor test <br /> 3 CCR 2711(b) & {c) Current State Forms A& 134HSC 25292.2 Certification of financial 3CCR 2630 (d) Annual monitoring certificatior <br /> responsibility and letter from 24 CCR 2643 (d) Daily monitoring of suction <br /> chief financial officer piping that is not continuously <br /> monitored <br /> 5 CCR 2630 (d) Continuous monitoring system 25 CCR 2643 {d} Triennial tightness test of <br /> for UST system suction piping that is not <br /> 6 CCR 2636 (c)(1) All releases in secondary piping continuously monitored <br /> flow to a collection sump <br /> 7 HSC 25291 (e) Water in secondary(2°) cont 26 CCR 2643 (e) Biennial tightness test y <br /> piping that is not continuously <br /> 8 HSC 25291 (f) Automatic line leak detector(s) monitored <br /> 9 CCR 2636 (f)(1) Continuous monitoring system CCR 2662 Upgrade requirements for US <br /> for underground piping 27 <br /> system <br /> 10 CCR 2632 (c)(2) Continuous monitoring system <br /> for UST 2$ CCR 2661 Permit to repair UST system <br /> 29 HSC 25286 (a) Permit to alter monitoring <br /> 11 HSC 25291(a)(2) Secondary containment for system <br /> UST is tight 30 HSC 25298 (a) Illegal abandonment of UST <br /> 12 CCR 2636 (f)(1) Continuous monitoring system system <br /> for dispenser systemLJ <br /> i 3 CCR 2635 (b}{1} Spill container 31 HSC 25298 (b) Permit to temporarily close <br /> system <br /> 14 CCR 2635 (b)(2) Overfill prevention 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 ar <br /> tight oeratd to properly disposed of <br /> i 6 HSC 25292.1 prevent unauthorT system ispized release 34 CCR 2640 (e) Single wall component withir <br /> 1000' of Public Well, no ELD <br /> 17 /CCR 2650 Recording/rep rtinge 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> CCR 2632 (d) Monitoring & response plan 36 H&SC 25299(a)(9)Disabling leak detect. device <br /> 18 V <br /> 37 Violation(s) not listed above <br /> 19 CCR 2712 (i) Monitoring &response plan is <br /> on site <br /> PHONE: <br /> �EHDINSPECTOR: 1�2. PHONE: <br /> RECEIVED BY TLE: C <br /> TLIVUST11NSP rev 315102) <br />