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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sicehd.com <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facilit i <br /> y - Facility Inspection <br /> Name..�- �. - n �1 N%- Address c� r . i <br /> .7 j1�-� ( LLuI 1� 7i V,X, Dace. 2C- f i <br /> Non-Pressurized Pfping V R COS <br /> 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve(V705) - n <br /> 402 CCR 2643(d) Daily monitoring of suction pipe(pre-Jan 1984)not performed(V726) 0 0 0 <br /> 403 CCR 2643(d) Triennial 0.1 gph line test for conventional suction piping not performed(pre-January 1984)(V664) ❑ o a <br /> 404 CCR 2643(e) Biennial 0-1 gph test for gravity piping not performed(pre-January 1984)(V655) n <br /> Other Violations V R COS <br /> 2010 See below Unlisted Administration/Documentation violation(V736) u <br /> 2030 See below Unlisted Operations/Maintenance violation(V743) o c o <br /> 2060 See below Unlisted Design/Construction violation(V745) 0 0 0 <br /> SUMMARY OF VIOLATIONS <br /> f (CLASS I,CLASS II,or MINOR-Notice to Comply <br /> ' <br /> nl i 9 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Rece by(signature): Title: Date. <br /> Received by(printed na e): Inspector. Inspector phone: <br /> Ct/7< �b C2°9��f0�-3y`�l`J` <br /> EHD 23-01 REV 1010 /14 P e 3 UST INSPECTION REPORT <br />