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SAN JOAQUO COLTWY <br /> EN 1RDNMENTAL HBALT'rl DLPARTMEE T <br /> 304 Ent W tbeT Avenue, YFloor,Stockton,CA 95202.2708 <br /> Tolepheow(209)468-3420 Fats:(269)469-3433 Web. A-w_w ai2ov.oT "elf <br /> UNDERGROUND S'T'ORAGE TANK(L;ST)PROGRAM INSPECTION REPORT <br /> Fzetlity EAllw` Dasi(oxUd Operator'Av-m 62 <br /> Irtspactten Date: <br /> FselUty tddre+a: Jv�{/fV T a <br /> Product <br /> F"evy Contact: Tltls: Phone: <br /> p IDA <br /> i rtrl�Penal. PI no SystemOr it prevention; <br /> ssarizcd :SuculhA CrtIIvity har,ic- Ldlibkrviscul <br /> Im.pidism type: violations: <br /> 1Loutine Mvmtvri� Ctnitlution C Twallation C OtHw C Ml-R:,etect � -APrev C M•3 Both <br /> Code Section VIOLATIONS)HSC-Califotria Health SaMy Code;CCR-Califore a Cada of Pequlations Y R <br /> V=Violation;RV=Repw Vielotion V <br /> 1 HSC 25Peeatit to c u%x <br /> 727 CM-2637'' 'Second tantainmenT test paformed <br /> 3 2 f 1 & t Rttint Lnlfled Pro an Conaclidtited Fonmon ftlewitb BtiD Ih ty atld tank form) <br /> '4: HSC 25292:2 C kifcatiati offioanc'al pupousilsility Pad CFO l <br /> 5 CCR 2632(0XMD,) mocitcAhR&e res ottsc plaTi is,urmt and Atcd with the local <br /> ;8 CCR 2712 i ° <br /> Murtitoring&Mme sn is.ostsite <br /> R 2712(b) Maintenance dz monimling records a <br /> :: 2643(d) Duly motailwift of suotian06mgkn ,1, 1984 <br /> 9 NBC 2:292.1 UST c tem!s o to tevent imautho reieue <br /> 10i UST mniwring sWun'is Ircmt <br /> 11I CCR 2636-(d) UST system rnoakorui&jqujEM5rt h prowdy locaud to doteet a leak 1 <br /> s,l' scam HS;C' 291`. U s tsson' t t is o onal <br /> „...,. <br /> 13 1 ccx 2636 11 Continuous Ingniterinz syst=fzq under .ound pipingBt DC is 9,resent 1 <br /> $4 1. 3T(JTlnv&ryconftimmntituc,.",ight <br /> 3I Hsc 23291 IIa 2 Sroond oodWnmem far UST is tight <br /> 15: CR 2636(c)(1) - AlWaWas to mond in flow to a odlettion. 7. <br /> 17 BSC 25291f ins 10k detecto a arc iuruIed <br /> 1d' CC�R2633 .13' 'Spa contains M1 <br /> t -cm 2635(b)(2Cvarftll teveindan am 21 <br /> �0,• .GCR 2636 a,) Cont+eati Chart in shall have continuca.s monitoring&21 avi+rzlnroeri " <br /> 21 HSC V291 C W'ator in 20 wt:minment analyzed&E=flyd of <br /> 22, CCR 2650, Rmot of unmuthwizzd releases I <br /> 23 CCR 2715 Desiarsted Operator: a)Stztement fm r,LIST owner t-e mandily i ion;M B=Ioyrc traihimll <br /> 24 .. CCK'2635 .a . Annual martrwrips cettifle4tiost <br /> $ CCR 2638 a A=ural litre leak dowtor tm MI <br /> ug <br /> 27 HSC CCR 2634;.2 4 AAtmuel V oantattttt»at testi <br /> rmuM line ti Merest test Mr <br /> 266t( RrpsIT tkWpiping hu had tgbtfteWtest <br /> 29 CCR 2643 a BicnpwtjUwmeu .tof bins(pre-Janutry:, 1984) <br /> 3 d ,-iennial ltnetmsl far coeveetbaal suction ioi re•lanu 1 1➢84Y <br /> 31 HSC 25292,5 Double t nem located (hW 1200'2f ublic well•EL.D <br /> 3 C R'26 1 POWit to r r UST sy stns <br /> 33 MSC 25286 a Perrot to eller moCltonn cm _ <br /> 34 C, 5 8• } Pe*rttit to romporldly clo5e'JST s stem <br /> 33 HSC 25298 c Permit to cions UST a stern <br /> 36 HSC 25299(o)(9) DiaWrig leak daection dv,ices <br /> 3-7--1 HSC 25296 ra Illegal ebsndoemau of UST wstom <br /> 38 Met: <br /> ECT PHONE: U1C <br /> t figpr;c xvccem: <br /> 7 Serves X20 Ceoplvday <br /> t2ECF £t? 1 J.r Y1TL.E: dt M2 L Outer than sanftsry�ti sste <br /> welli.Tmuh Drains <br /> END 23-02.662 <br />