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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231830
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COMPLIANCE INFO
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Entry Properties
Last modified
7/6/2020 4:38:43 PM
Creation date
11/8/2018 9:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WATERLOO\6732\PR0231830\COMPLIANCE INFO.PDF
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EHD - Public
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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 �a �Y_✓1�J Rd,) <br /> Facility Address 6 G <br /> Facilty Contact Title lulu 3 Phone No. J 049, <br /> Program ID# Number of UST(s) �– <br /> UST#/Product <br /> Overfill Prevention: Audible and Visual 0 Mechanical <br /> Piping system: Gravity Pressure Suction.X <br /> Monitoring system X <br /> Automatic pump shutdown satisfies CCR2636 (g): Yes No bn_ <br /> VIOLATION(S) <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 /> 1 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 /> 12XCCR 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 /> PHS 260(8/04/00) 1 of— <br />
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