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' SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)468-3433 Web:www.sicehd.com <br /> UNDERGROUND STORAGE TANK UST661 <br /> PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection <br /> Name. qr��q j Address: �c7 �.. �,- Dale: / 2. f <br /> Non-Pressurized Piping ,R COS <br /> 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve(V705) ❑ ❑ ❑ <br /> 402 CCR 2643(d) Daily monitoring of suction pipe(pre-Jan 1984)not performed(V726) ❑ ❑ ❑ <br /> 403 CCR 2643(d) Triennial 0.1 gph line test for conventional suction piping not performed(pre-January 1984)(V664) ❑ ❑ ❑ <br /> 404 CCR 2643(e) Biennial 0.1 gph test for gravity piping not performed(pre-January 1984)(V665) ❑ ❑ ❑ <br /> Other Violations V R COS,; <br /> 2010 See below Unlisted Administration/Documentation violation(V736) ❑ ❑ ❑ <br /> 2030 See below Unlisted Operations/Maintenance violation(V743) ❑ ❑ ❑ <br /> 2060 See below Unlisted Design/Construction violation(V745) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR—Notice to Comply <br /> ' k ' <br /> c 2 <br /> Tu r Q.L T: 15 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Receivgd.gy(sig re): Title: Date: <br /> Receiv (print ame): r: Inspector 1 <br /> o�r phon �^Z��� <br /> e.1L e�s�S /Ic. . f) <br /> EHD 23-01 REV 07/28/16 Page 3 UST INSPECTION REPORT <br />