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04/19/05 TUE 09:28 FAX 9512745121 CIRCLE R STORES Q002 <br /> n4r1y/200b 07:39 2@946031 FIFTH FLOOR a D PAGE 02 <br /> SAN JoAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East W ober Avenue.3t°Floor,Stockton,CA 95202.2708 - ' <br /> Teiepbone:(209)468.3420 F=.-(209)468.3433 Web:www siitov.ora/eb� <br /> UNDERGROUND STORAGE TANK S PROGRAM INSPECTION REPORT <br /> FaciNty came: D"Iguatedr' tospactlon nate: <br /> vacs? N 12 05 <br /> Facility addrsss: <br /> (4C 9- ' prodder M <br /> Faci' r.0.1RPnrranc: 1117 <br /> V DD <br /> Munitoring Panel Piping system: ovas'BB prevention: <br /> b pressutizvd ❑Snm— p Cmv ❑Mechaninl O AudibleNisual <br /> Violations: <br /> Inspection type: ❑M-3 Both <br /> Routine ❑Moniumin Cartification ❑installation CI Qthet: ❑Ml-R12elCt 0 M2-RPrav V R <br /> VIOLATION(S)HSC=Califvmia Health&Sa&tY Cada CCP�Ce"iamis Code of Regulations V <br /> a Code Section V-Violatdon;RV= atViolation <br /> 1 HSC 25284 Pemrit too endo <br /> ;2. :CCR•4637 ':1; . .. secondt tested <br /> 3 CCR Z71 L & c Curl m r UniBod Proam Consolidated Fonts on Big wtM EHD aVit and tank form 01 <br /> ;NSC 25292.2 .. ": .. (jerti$oatloa Of Bnencial responsibility att8 CFO letter. <br /> 5 CCR 2632 e 2 Mcningitig&rciponw plan is cunart and filed with the local me - - <br /> 6 ..'CCR.27L2 i .. .Muoitwin &r nse Ion is onsite ' :p %=.> <br /> 7 CCR 2712 Maintenance&monitoringrecords I <br /> r <br /> :8 '. 'CCR 2643.d .. Datl aiKmitori ofsueNon. R-Ian 'd,1984 <br /> omt -, Olopae <br /> I i CCR CR Z63'2?0 2 �moni30 Z tc moniystem a uinmom tsauthOrrl located to detects leak s �l <br /> 1 <br /> [14 � <br /> 'HSC,2529:L- UST. m tttonit ui nt iso ■tiorud ' <br /> 13 CCR 2636 1 Continvous moninnn s em for under anti i in &UDC is em 2 <br /> 'CCRz63r scontainmentus act ti htHSC 25291 a 2 Sword cuntnintnent frn UST is ti ht <br /> CCR263fi: c1 .'... '�Atlrelaasesinsocond i inHSC 25291 Line L detect0 s are installed CCR5illcontierCCR 2635 2 Overfill revcntionsstem:•6CR;263fi(a ., Convcntionaisuction iiiiiing.sbealNeve continuous monitbrl :di'2°containtctent <br /> 21 1 HSC 2549) (e) Water in 21 containment anal ed&prowly disposed of <br /> _ w w, o e Month .mi ^ on 1: 1 tmnin <br /> 22 CCR 2650•.. "Raeordin n Of unatidforized releases <br /> ? CCR 2715 Desi ted O ator: a Statetmnt from UST o <br /> 24_. CCR2638.:a:. ., ::Ann ualtnonitorin cam tcativa : .. " - ..:• .. <br /> 25 CCR 2636{a Annual fine leak dKcotor test <br /> 1 <br /> 26 HSCZ&l2'4 Aonri»l ill mn a nmenrtestin <br /> nnual line ti brass test 1 <br /> 2s ,CCR 2661` WCY. , <br /> 30 29 CCR 2643 <br /> d Trionnialtbuetcst Air c0oavemionalsuction pi 1984 <br /> tr for tankl itmdti css telt an rc%Jamu J, 1964 .: 1N1 ?.-. <br /> 31HSC 25292.5 Double wail Stam lont4d within 1000'of ublic well-ELD <br /> CCR2 6.1: . . . <br /> 'PartniriovUST'. ani.., <br /> 33 HSC 25286 a Permitto eller monitoring system <br /> 34 - NSC 252.98 . •. Peimit tot tatil close U9Ts stem' " <br /> 35 HSC 25296 a Permit m clusc UST stem <br /> 361:SHSC25299a 9 : . : >Disablio deak.dekctioadevicea :: .' .. ' ." ''.. .. . <br /> 37 HSC 25295 a Illegal abeodonment of UST systcm <br /> ;.31 11 0410il, <br /> END INAJUSCTORs �o.1�/r r't10. E:b Q I n urc <br /> I`A I 4 C.]V y VQ Sant' y t rn. <br /> ❑Scrves a20 pceplelday <br /> RCCE BY: TITLE: Ll Receiver-rho-than unitary sane <br /> OfAZr d's�v`��1_ theds• <br /> t ❑ wells/French Dnins <br /> EHD 23-02-002 <br />