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DATE " 6At- • SAN JOAQUIN COUNTY PR# . Z711 7,5 ENVIRONMENTAL HEALTH DEPARTMENT PAGE 304 E. Weber Ave., Third Floor, Stockton, CA 95202 (209)468-3420 UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT Facility Name 76 Facility Address 1206 Facility Contact ur Title Z.cN C5p- Phone#,/, x/78' 6y�57 UST#-L- Product L 7�AUST# 2 Product?ren f UST# 3 Product pre S&, UST#_Product Monitoring Panel: TGS TYQ Overfill Prevention: D Audible rI techanical ViolaItions9D M1-RDet D M2-Rprev D M3-Both Piping System: ❑Gravity ressure ❑ Suction � Automatic Pum Shut Down Satisfies CCR 2636 5 : 8'Yes 0 No Desi nated O erator: INSPECTION TYPE: ❑Routine []Monitoring Certification []Complaint Dinstall []Removal []Repair/Upgrade COMPANY NAME: /r TECHNICIAN NAME: 4f• NAS k jra PHONE: S/S-S/6- 7o7-G VIOLATION(S) The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or California Code of Regulations (CCR): 1 HSC 25284 Permit to operate 23—CCR 2643 (d) Daily monitoring of suction 2_CCR 2Secondary cont. testing piping (pre-1/1/84) 3 CCR 2711711(b) & (c) Current State Forms A& B 24—CCR 2636 (a) Conventional suction piping 4 HSC 25292.2 Certification of financial shall have continuous responsibility& CFO letter monitoring & 20 containment nnial tightness5—CCR 2632 (c)(2) UST monitoring is present(M1) 25 CCR 2643 (e) piping (pre 1/1/84)test of gravit 6 CCR 2630 (d) UST system monitoring test for equipment is properly located to 26_CCR 2643 (d) Trien line conventional suction (pre- detect a leak (M7) 1/1/84) (M1) 7—CCR 2637(b) UST system monitoring equipment is operational (M1) 27 CCR 2662 1998 upgrade of UST system 8 CCR 2636 (f)(1) Continuous monitoring system 28 CCR 2661 Permit to repair UST system — for underground piping & UDC 29_HSC 25286 (a) system it to alter monitoring is present(M1) 9_CCR 2636 (c)(1) All releases in secondary piping 30—HSC 25298 (a) Illegal abandonment of UST flow to a collection sump system 10 HSC 25291 (f) Line leak detector(s) (M1) 31—HSC 25298 (b) Permit to temporarily close US- 11_HSC 25291(a)(2) Secondary containment for system UST is tight 32HSC 25298 (c) Permit to close UST system 12_CCR 2635 (b)(1) Spill container(M2) 337—HSC 25292.1 UST system is operated to 13 HSC 25284.2 Annual spill container testing prevent unauthorized release 14_CCR 2635 (b)(2) Overfill prevention system (M2) 34 CCR 2650 Records g/reizedpt ting nge (M1) 15 CCR 2631 (a) Primary containment is product- tight 35 HSC 25291 (e) Water in 20 cont analyzed and 16 ✓ CCR 2632 (d) Monitoring &response plan properly disposed df 17_CCR 2712 (i) Monitoring & response plan is 36—CCR 2640 (e) Swithin OOOinglecomponentwall of Public WellELD on site 18 CCR 2712 (b) Maintenance& monitoring 37 CCR 2635(a)(2)(A)Cathodic protection testing & _ records (M1) 60 day inspection log (M2) 19 CCR 2636 (f)(4) Annual line tightness test 38_H&SC 25299(a)(9)Disabling leak detect. Devices 20 CCR 2630 (d) Annual line leak detector test 39_CCR 2715(a) Statement from UST owner (M1) 40_CCR 2715(c) Monthly inspection by D.O, 21 CCR 2630 (d) Annual monitoring certification 41_CCR 2715 (f) D.O. trained employees 22 CCR 2661 (f) Repair for tank/piping has had 42_ Violation(s) not listed above i htness est 2 EHD INSPECTOR: PHONE: Za5 yg '.7 ye-10 RECEIVED BY: TITLE: UNITIII/UST/INSP(rev 7/21/04)