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SAN JOAQUIN COUNTY DATE <br /> PR# <br /> IRONMENTAL HEALTH DEPART PAGE <br /> 30.4 E. Weber Ave., Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name Wx Wi a %W--F Facility Address 5� N . W t )� W <br /> FaciltyContact 4e,e tot, Title P7,�zralOr Phone# qq - 22(Q <br /> UST# 3 Product UST#Product Y UST#_Product UST#_Product <br /> Overfill Prevention: C AudibleNisual [9'Filechanical Monitoring Panel: ) n (0y) 15 loci <br /> Piping System: C Gravity ePressure C Suction Violations: %Minor C Major <br /> Automatic Pump Shut Down Satisfies CCR 2636 (g): C Yes "o Dispenser Pan: Yes C No <br /> INSPECTION TYPE: �Soutine ❑Monitoring Certification CComplaint ❑Install ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME: TECHNICIAN NAME: PHONE: <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_ CR 2636 (f)(4) Annual line tightness test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 22 CR 2630 (d) Annual line leak detector test <br /> 4�HSC 25292.2 Certification of financial 23 CCR 2630 (d) Annual monitoring certification <br /> responsibility and letter from 24CCR 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(21)cont 26 CCR 2643 (e) Biennial tightness test of gravity <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 /> 11HSC 25291(a)(2) Secondary containment for 29_HSC 25286 (a) Permit to alter monitoring <br /> UST is tight system <br /> 12 CCR 2636 (f)(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- 32 HSC 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 34CCR 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 /> 19-17—CCR 2712 (i) Monitoring & response plan is 37_ Violation(s)not listed above <br /> on site <br /> EHD INSPECTOR: PHONE: gtfS -3 q(Pk <br /> RECEIVED BY: ilq TITLE: <br /> UNITHMSVINSP(rev 726102) <br />