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DATE (0 1 D <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 /> r <br /> Facility Name S-imco -f"v+11L PIAZAr Facility AddressD22 iron R� _ 12iPv <br /> Facilty Contact �Eb�e— ',h. f(* Title SUs-1 RISS e-ePhone # <br /> UST#_ Product a1 L_ UST# Product I ( UST#_Product UST#_Product r <br /> Overfill Prevention: 17 Audible/Visual Mechanical Monitoring Panel: V✓? �� S �1 <br /> Piping System: o Gravity `kPressure ❑Suction Violations: o Minor AMajor <br /> Automatic Pump Shut Down Satisfies CCR 2636 Yes o No Dispenser Pan: es o No <br /> INSPECTION TYPE: ❑Routine onitoring Certification ElComplaint ❑Install ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME:Sk4W5 P444 TECHNICIAN NAME:ClAr`1 V PHONE: <br /> VIOLATIONS) <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 <br /> records <br /> month/36 month) 21 CCR 2636 (f)(4) Annual line tightness test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 23—CCR 2630 (d)CCR 2630 (d) Annual Annual Inion toringine leak etertor test <br /> 4 HSC 25292.2 Certification of financial Dail monitoring of suction <br /> ation <br /> responsibility and letter from 24—CCR 2643 (d) Y <br /> chief financial officer piping that is not continuously <br /> monitored <br /> 5 CCR 2630 (d) foo UST system monitoring system 25—CCR 2636 (a) Conventional suction piping <br /> shall have continuous <br /> 6 CCR 2636 (c)(1) All releases in secondary piping monitoring &2° containment <br /> flow to a collection sump Biennial tightness test of gravity <br /> 26—CCR 2643 (e) <br /> 7 HSC 25291 (e) Water in secondary(21)cont piping that is not continuously <br /> g HSC 25291 q Automatic line leak detector(s) 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 (�)(2) Continuous monitoring system 28�CCR 2661 Permit to repair UST system <br /> for UST 26--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 rarily close US i <br /> for dispenser system 31 HSC 25298 (b) Permit to tempo <br /> _ <br /> 13 CCR 2635 (b)(1) Spill container system <br /> 14_CCR 2635(b)(2) Overfill prevention system32_HSC 25298 (c) Permit to close UST system <br /> 15_CCR 2631 (a) Primary containment is product- Water in 2°cont analyzed and <br /> 33HSC 25291 (e) <br /> tight _ properly disposed of <br /> 18_HSC 25292.1 UST system is operated e 34 CCR 2640 (e) Singly wall component within <br /> p prevent unauthorized release 10�' of Public Well, no ELD <br /> 17 t cCR 2650 unauthorized <br /> release <br /> 35pCCR 2635(a)(2)(A)Cathodic protection testing <br /> unauthorized release 36 '{&SC 25299(x)(9)Disabling leak detect. devices <br /> 18_CCR 2632 (d) Monitoring & response plan 37_ Violation(s) not listed above <br /> 19 CCR 2712 (i) t Monitoring & response plan is <br /> on site <br /> PHONE: ZD b 0p <br /> ' y <br /> EHD INSPECTOR: TITLE: <br /> 0 <br /> RECEIVED BY: <br /> ....­ iernuco r,.M4102) <br />