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DATE 1`111ylo3 <br /> SAN JOAQUIN COUNTY PR# <br /> NVIRONMENTAL HEALTH DEPAR' 'ENT PAGE f <br /> '3d4 E.Weber Ave.,Third Floor, Stockton, 6edb5202 7e <br /> (209)468-3420 '- �f� OdQN� S y <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> II� p � Facilit Address <br /> Flity Name /V �a�'^�' <br /> lty Contact er, Title- Phone# I / – G0#� Product UST#�Product —UST#_ProductUST#_Product <br /> fill Prevention: 0 AudibleNisual 91Mecham I Monitoring Panel: <br /> Piping System: 0 Gravity 0 Pressure uctionViolations: 0 Minor D Major <br /> Automatic Pum Shut Down Satisfi CCR 2636 211//es 0 No Dispenser Pan: R fes D No <br /> INSPECTION TYPE: 99outine DKonitoring Certification OComplaint Olnstall ORemoval ORepair/Upgrade <br /> COMPANY NAME: t(,4t), (,m44/"�ECHNICIANNAME: � 60h PHONE: 7Sq rl<<SL <br /> VIOLATION(S) <br /> The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br /> California Code of Regulations (CCR): <br /> 1 HSC 25284 Permit to operate 20 CCR 2712 (b) Maintenance &monitoring <br /> 2 CCR 2637 Secondary cont testing (6 records <br /> month/36 month) 21_CCR 2636(f)(4) Annual line tightness test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B -22_,CCR 2630 (d) Annual line leak detector test <br /> Z]�HSC 25292.2 Certification of financial 123 CCR 2630(d) Annual monitoring certification <br /> responsibility and letter from 24 CCR 2643 (d) Daily monitoring of suction <br /> chief financial officer piping that is not continuously <br /> 5 CCR 2630 (d) Continuous monitoring system monitored <br /> for UST system 25 CCR 2636 (a) Conventional suction piping <br /> 6 CCR 2636 (c)(1) All releases in secondary piping shall have continuous <br /> flow to a collection sump monitoring &20 containment <br /> 7 HSC 25291 (e) Water in secondary(20)cont 26 CCR 2643 (e) Biennial tightness test of gravit} <br /> 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuously <br /> 9 CCR 2636(f)(1) Continuous monitoring system monitored <br /> for underground piping 27 CCR 2662 Upgrade requirements for UST <br /> 10 CCR 2632 (c)(2) Continuous monitoring system system <br /> for UST 28 CCR 2661 Permit to repair UST system <br /> 11 HSC 25291(a)(2) Secondary containment for 29 HSC 25286(a) Permit to alter monitoring <br /> UST is tight system <br /> 12 CCR 2636(0(1) Continuous monitoring system 30 HSC 25298 (a) Illegal abandonment of UST <br /> / for dispenser system system <br /> 13 ✓ CCR 2635(b)(1) Spill container 31_ HSC 25298(b) Permit to temporarily close US- <br /> 14 CCR 2635(b)(2) Overfill prevention system system <br /> 15 CCR 2631 (a) Primary containment is product- 32HSC 25298(c) Permit to close UST system <br /> tight 33 HSC 25291 (e) Water in 20 cont analyzed and <br /> 16 HSC 25292.1 UST system is operated to properly disposed of. <br /> prevent unauthorized release 34 CCR 2640(e) Single wall component within <br /> 17 CCR 2650 Recording/reporting 1000'of Public Well, no ELD <br /> unauthorized release 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> 18_CCR 2632(d) Monitoring &response plan 36_H&SC 25299(a)(9)Disabling leak detect. devices <br /> 19 CCR 2712(i) Monitoring &response plan is 37_ Violation(s) not listed above <br /> on site <br /> PRECEIVED <br /> R: PHONE: " (�E� '3Nyd <br /> BY: ;= TITLE: <br /> UNMI WSTANSP(rev 7/2aro2) <br />