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SAN JOAQUIN COUNTY DATE— <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR# <br /> PAGE / <br /> 304 E. Weber' Ave., Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UIQ�kt&aNftfO98GE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name ;:� TgNg: , Q�AFacility Address fpm ,'�. 69ej t ,/ (zap <br /> Facility Contact�kW_ 5- Title A4f U Phone #_2q( <br /> (rG_3b t�(j <br /> UST# Products UST#_.L_Product _UST#I_Product171SS UST# 8— Product <br /> Overfill Prevention: D Audible/Visual Mechanical Monitoring Panel: Eac <br /> Piping System: D Gravity Pressure D Suction Violations: Minor D Major <br /> Automatic Pump Shut Down Satisfies CCR 2636 Yes D No Dispenser Pan: es D No <br /> INSPECTION TYPE: ❑Routine DMonitoring Certification DComplaint Dlnstall DRemoval DRepair/Upgrade <br /> COMPANY NAME: . TECHNICIAN NAME: -p PHONE: <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 CCR 2711(b)& (c) Current State Forms A& B 22 CCR 2630 (d) Annual line leak detector te; <br /> 4--�'—HSC 25292.2 CeaEcaiiQn of financial 23 CCR 2630 (d) Annual monitoring certificati <br /> CLvI�/� responsibilit tter from 24 CCR 2643 (d) Daily monitoring of suction <br /> hief financial o icer piping that is not continuous <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 gra <br /> 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuousl <br /> 9 CCR 2636 (f)(1) Continuous monitoring system monitored <br /> for underground piping 27 CCR 2662 Upgrade requirements for U: <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 30HSC 25298 (a) Illegal abandonment of UST <br /> for dispenser syst system <br /> 13�CCR 2635 (b)(1) Spill contai r :Fr �f 31 HSC 25298 (b) Permit to temporarily close L <br /> 14 a ill or <br /> 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 2° cont analyzed ar <br /> 16 HSC 25292.1 UST system is operated to properly disposed of <br /> prevent unauthorized release 34—CCR 2640 (e) Single wall component withir <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. device <br /> 19_CCR 2712 (i) Monitoring & response plan is 37 Violation(s) not listed above <br /> on site <br /> EHD INSPECTOR: ` PHONE: <br /> RECEIVED BY: TITLE: <br />