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REMOVAL_2001
EnvironmentalHealth
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PR0517364
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REMOVAL_2001
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Entry Properties
Last modified
5/12/2021 1:25:57 PM
Creation date
11/5/2018 1:10:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2001
RECORD_ID
PR0517364
PE
2381
FACILITY_ID
FA0013375
FACILITY_NAME
SILVERIA PROPERTY
STREET_NUMBER
1933
STREET_NAME
HIAWATHA
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
1933 HIAWATHA AVE
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HIAWATHA\1933\PR0517364\REMOVAL 2001.PDF
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EHD - Public
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. 0e <br /> PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <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 L� <br /> Facility Addressjq 3 3HLa"0 7/'LyK r7� <br /> Facilty Contact.�tp _e n ZZ�a vL,o _Title Phone No. <br /> Program ID# P Number of UST(s) <br /> UST#/Product�5D O 0 Is <br /> Overfill Prevention: Audibl–Amd isual Mechanical _ <br /> Piping system: Gravity Pressure Suction X <br /> Monitoring system <br /> Automatic pump shutdown satisfies CCR2636 (g): Yes No <br /> VIOLATIONS) <br /> The above facility is not in compliance with the following section(s)of Health& Safety Code <br /> (HSC)and/or California Code of Regulations (CCR): <br /> I_HSC 25284 Permit to operate <br /> 2 HSC 25292.3 Upgrade compliance certificate/sticker <br /> 3 CCR 2711(b) &(c) Current State Form A&B <br /> 4—HSC 25292.2 Certification of financial responsibility and letter from chief financial <br /> officer <br /> 5 CCR 2630 (d) Continuous monitoring system for UST system <br /> 6 CCR 2636(c)(1) All releases in secondary piping flow to a collection sump <br /> 7 CCR 2636(a) Secondary containment for piping is waterproof <br /> 8 CCR 2636(f)(2) Automatic line leak detector(s) <br /> 9 CCR 2636(f)(1) Continuous monitoring system for underground piping <br /> lO CCR 2632(c)(2) Continuous monitoring system for UST <br /> 11 HSC 25291(a)(2) Secondary containment for UST is tight <br /> 12 CCR 2636(f)(1) Continuous monitoring system for dispenser system <br /> 13 CCR 2635 (b)(1) Spill container <br /> 14 CCR 2635 (b)(2) Overfill prevention system <br /> 15 CCR 2631 (a) Primary containment is product-tight <br /> 16 HSC 25292.1 UST system is operated to prevent unauthorized release <br /> 17 CCR 2650 Recording/reporting unauthorized release <br /> 18 CCR 2632(d) Monitoring and response plan <br /> 19 CCR 2712 (i) Monitoring and response plan is on site <br /> 20 CCR 2712(b) Maintenance and monitoring records <br /> 21 CCR 2636(f)(4) Annual line tightness test <br /> 22_CCR 2630(d) Annual line leak detector test <br /> 23 CCR 2630(d) Annual monitoring certification <br /> 24—CCR 2643 (d) Daily monitoring of suction piping that is not continuously <br /> monitored <br /> 1 of <br /> PHS 260(8/04/00) <br />
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