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PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <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 /,LS �2 • � � <br /> Sf� pro ? <br /> Facility Address &� i <br /> Facilty Contact Title/ Phone No, <br /> Program ID# Number of UST(s) <br /> UST# / Product / .y ' ;a <br /> Overfill Prevention: Audib e and Visual Mechanical � PLt� <br /> Piping system: Gravity Pressure_ Suction <br /> Monitoring system — to <br /> Automatic pump shutdown satisfies CCR2636 (g) : Yes No— <br /> VIOLATION(S) <br /> oVIOLATIONS) <br /> The above facility is not in compliance with the following section(s) of Health & Safety Code <br /> (HSC) and/or California Code of Regulations (CCR) : <br /> 1 HSC 25234 Permit to operate <br /> 2 HSC 25292.3 Upgrade compliance certificate/sticker <br /> 3 CCR 271 1 (6) & (c) Current State Form A & B <br /> 4 HSC 25292 .2 Certification of financial responsibility and letter from chief financial <br /> f <br /> officer <br /> i 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 CCR 2636 (a) Secondary containment for piping is waterproof <br /> 8 CCR 2636 (f)(2) Automatic line leak detector(s) <br /> 9 CCR 2636 (f) ( 1 ) Continuous monitoring system for underground piping <br /> lO�CCR 2632 (c) (2) Continuous monitoring system for UST <br /> 11XHSC 25291 (a) (2) Secondary containment for UST is tight <br /> 12CCR 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 />`f 16 HSC 25292 . 1 UST system is operated to prevent unauthorized release <br /> 17 CCR 2650 Recording/reporting unauthorized release <br /> 18 CCR 2632 (d) Monitoring and response plan <br /> E 19 CCR 2712 (i) Monitoring and response plan is on site <br /> 20 CCR 2712 (b) Maintenance and monitoring records <br /> 21 CCR 2636 (f)(4) Annual line tightness test <br /> 22 )C CCR 2630 (d) Annual line leak detector test <br /> 23XCCR 2630 (d) Annual monitoring certification <br /> 24 CCR 2643 (d) Daily monitoring of suction piping that isnot continuously <br /> monitored <br /> PHS 260 (8/04/00) <br />