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DATE \a l7L <br /> SAN JOAQUIN COUNTY PR# <br /> 4VIRONMENTAL HEALTH DEPART T PAGE \oF a <br /> 304 E.Weber Ave., Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Names �� Facility Address \`-4d)0 NQsD <br /> Facilty Contact w�t�OG� o\\voT Title o Phone# <br /> UST#� Product 99AUST# 4--- Product `� UST#3 Producto\5s- UST#_Product <br /> Overfill Prevention: D AudibleNisual &46chanical Monitoring Panel: G\05NQZ0 <br /> Piping System: D Gravity &4'ressure D Suction / Violations: D inor D Major <br /> Automatic Pum Shut Down Satisfies CCR 2636 [y1 as U Nois enser Pan: s ❑ No <br /> INSPECTION TYPE: DRoutine DMonitoring Certification DComplaint nstall DRemoval epair/Upgrade <br /> COMPANY NAME: Z\^A'E- N TECHNICIAN NAME: PHONE:\�\U\- <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 /> ;—,f--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 test <br /> 4 HSC 25292.2 Certification of financial 23 CCR 2630 (d) Annual monitoring certification <br /> responsibility and letter from 24 CCR 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 25CCR 2643 (d) Triennial tightness test of <br /> 6 CCR 2636 (c)(1) All releases in secondary piping suction piping that is not <br /> flow to a collection sump continuously monitored <br /> 7 HSC 25291 (e) Water in secondary(20)cont 26_CCR 2643 (e) Biennial tightness test of gravity <br /> 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuously <br /> 9 CCR 2636 (f)(1) Continuous monitoring system monitored <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 UST <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 34CCR 2640 (e) Single wall component within <br /> 17 CCR 2650 Recording/reporting 1000' of Public Well, no ELD <br /> / unauthorized release 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> 18 J 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. PHONE: 315¢\ <br /> RECEIVED BY: TITLE: PHONE: <br /> UNMIVUSTANSP(rev 315102) <br />