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SAN JOAQUIN COUNTY DATE <br /> r i `' PR# <br /> � . 4VIRONMENTAL HEALTH DEPARTh __ <T PAGE <br /> 304 E. Weber Ave. , Third Floor, Stockton, CA 95202 <br /> (209) 468-3420 <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Name Facility Address <br /> Facilty Contact LhAkA 1 ,M41dJ Title OAAEA L Phone # ,d56 - �9 9 <br /> UST# .L2 Product% UST# moi Product.1bA _UST# 'kProductjlA!( ST# Product <br /> Overfill Prevention : D AudibleNisual Xmechanical Monitoring Panel: LQ6r. AQg� L. 0 <br /> Piping System : D Gravity Pressure D Suction Violations: D Minor QMajor <br /> Automatic Pump Shut Down Satisfies CCR 2636 (g) : D Yes KNO Dis enser Pan : D Yes >(No <br /> INSPECTION TYPE : ) f2outine onitoring Certification ❑Complaint Dlnstall ❑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 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 /> 4 HSC 25292 .2 Certification of financial 23 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 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 /> 10N/ 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 (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 31HSC 25298 (b) Permit to temporarily close UST <br /> 14 CCR 2635 (b)(2) _ Overfill prevention system system <br /> 15,V`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 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 (1) Monitoring & response plan is 37 Violation(s) not listed above <br /> on site <br /> EHD INSPECTOR: 0 • (J PHONE: <br /> RECEIVED BY: TITLE: <br /> UNRIIVUST/INSP (rev 724102) <br />