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04/26/2001 14: 46 209468343 FIFTH FLOOR PAGE 02 <br /> . , N •. N <br /> PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E.Weber Ave., Third Floor, Stockton,CA 95202 <br /> (209)468-`_420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> FacilityName <br /> Facility Address $ Phone No. <br /> Facilty Contact Title <br /> Program][139- I� ^_Number of UST(s) : — <br /> UST#/Product <br /> Overfill Prevention: Audible and Visual_-_2KM�5 echanical <br /> Piping system: Gravity. Pressur- Suction <br /> Monitoring system 1 ,1"? 3,!�_o x <br /> Automatic pump shutdownsatisfies CCR2636(g):Wes No <br /> VIOLATI(W(S) <br /> The above facility is not in compliance with the foll)wing section(s)of Health&Safety Code <br /> (HSC) and/or California Code of Regulations(CCR): <br /> 1 HSC 25294 Permit to operate <br /> 2 HSC 25292.3 Upgrade compliance ccrtificate/stieker <br /> 3�CCR 271l(b)&(c) Current State Form A&B <br /> 4 FISC 25292.2 Certification of financi it 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 /> 7-87 _ CCR 2636(a) Secondary containment for piping is Waterproof <br /> CCR 2636(f)(2) Automatic line leak de:ector(s) rhe,G h&nue <br /> 9 __CCR 2636(f)(1) Continuous monitoring;system for underground piping <br /> 10 CCR 2632(c)(2) Continuous monitoring system for UST <br /> 11_fiSC 25291(x)(2) Secondary containment for UST is tight <br /> 12�( CCR 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 /> IS CCR 2632 (d) Monitoring and response plan <br /> 19 j) CCR 2712(i) Monitoring and response plan is on site <br /> 20CCR 2712(b) Maintenance and monitoring records <br /> 21 CCR 2636(0(4) Annual line tightness test - <br /> 22_2� CCR 2630(d) Annual line leak detector test S <br /> 23 CCR 2630(d) Annual monitoring ce tificatlon that is not continuously <br /> 24�CCR 2643 (d) Daily monitoring of suction piping <br /> monitored <br /> 1 of� <br /> PHS 260(8104/00) <br />