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09/02/2004 14: 15 12098305360 COSTC3 WHOLESALE ; ( PAGE 02 <br /> SAN JOAQUIN COUNTY OA fj �— <br /> PR# I,L <br /> --lENVIRONMENTAL 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 Narrie_ pp # fG _Facility Address?, b_ <br /> Facilty Contact TitIe _Phone # <br /> UST# Product UL,, UST# :,_Product VL.- UST#__� Product-P—V(�, U5T# Rroduct <br /> Overfill Prevention: tDlAudibleNGs I D Mechanical Monitoring Panel: _� <br /> Piping System: 0 Gravity `h7 Pressure 0 Suction / Violations: C Mi-RDet 0 M2-Rprev L1 M3-8oth� <br /> Automatic. Pum Shut own Sati ies CCR 2636 (9(5): i5/yes 0 No Designated O erator: <br /> INSPECTION TYPE: jRoutine onitoring Certification QComplaint Olnstall ORemoval ORepair/Upgrade <br /> COMPANY NAME: TECHNICIAN NAME: M I Ly- <br /> VIOLATION(S) <br /> VIO ATION(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 23 CCR 2643 (d) Daily monitoring of suction <br /> 2 CCR.2637 Secondary cont. testing <br /> 3 CCR 2711(b) & (c) Current State Forms A & 624 CCR 2636 (apiping (pre-111184) <br /> ) <br /> 4—HSC 25292.2 Certification of financial Conventional suction piping <br /> responsibility& CFO letter shall have continuous <br /> S CCR 2632 (c)(2) UST monitoring M1 monitoring & 2° containment <br /> g is present ( ) 25 CCR 2643 (e) Biennial tightness test of gravit <br /> 6 CCR 2630 (d) UST system monitoring <br /> equipment is properly located to 26 CCR 26.43 (d) Trienniallinerl ne /test for <br /> detect a leak (Mi) conventional suction (pre- <br /> 7_ CCR 2637(b) UST system monitoring <br /> equipment is operational M1 111/84) (Mi) <br /> $ CCR 2636 (f)(1) Continuous mo pram system 27 CCR 2661 Permit to repair UST system <br /> 9 Y 28 HSC 25286 (a) Permit to alter monitoring <br /> for underground piping 8 UDC <br /> is present(M1) system <br /> piping <br /> 9^`CCR 2636 (c)(1) All releases in secondary29HSC25298 (a} Illegal abandonment of UST flow to a collection sump system <br /> 30 HSC 25298 <br /> 10 HSC 25291 (f) Line leak detector(s) (Mi) (b) Permit to temporarily close US' <br /> 11 HSC 25291(a)(2) Secondary containment for system <br /> 31 HSC 25298 (c) Permit to close UST system <br /> 12 CCR 2635 b 1 UST's tight 32 HSC 25292.1 UST system is operated to <br /> ( )O Spill container(M2) prevent unauthorized release <br /> 13 HSC 26284.2 Annual spill container testing 33 CCR 2650 <br /> 14 _CCR 2635 (b)(2) Overfill prevention system (M2) Recording/reporting <br /> 15 CCR 2631 (a) Primary containment is product unauthorized release (Mi) <br /> tight 34 HSC 25291 (e) Water in 21 cant analyzed and <br /> 16 CCR 2632 (d) Monitoring & response planproperly disposed of <br /> 17 CCR 2712 (i) Monitoring & response plan is 35 CCR 2640 (e) Single va211 component within <br /> 0' of Public <br /> on site Ot odic protection testing nELD <br /> g & <br /> 18 CCR 2712 (b) Maintenance & monitoring 36 CCR 2635(a)(2)(A) Ca <br /> records (Mi) 37 H&SC 25299(a)(9)D�abling leakdetect. Devins' ices <br /> vi <br /> ces <br /> 19 CCR 2636 (f)(4) Annual line tightness test <br /> 20 CCR 2630 d 38 CCR 2715(x) Statement from UST owner <br /> ( ) (Mi)al fine leak defector test 39 CCR 2715(c) Monthly inspection by D.O, <br /> 21--CCR 2630 d 40 CCR 2715 (f) D.O, trained employees <br /> 22 ( ) Annual monitoring certification 41 <br /> CCR 2661 (f) Repair for tank piping has had Violation(s) not listed above <br /> ti htn ss test M2 <br /> EHD INSPECTOR' <br /> RECEIVED BY: PHONE: <br /> Septic Sy m: TITLE: <br /> Other Disposal Units Identified: Q Dry Serves <br /> t:2F rens/ns❑ Receives other than sanitary rite <br /> 19uniUlUnil.11n'U$TL45T in7pcaton8.lry.ae,IX7C <br /> SEP 02 '04 14:24 12098305360 PAGE-02 <br />