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SITE INFORMATION AND CORRESPONDENCE FILE 2
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Last modified
6/24/2019 10:36:12 AM
Creation date
6/24/2019 9:53:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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07/07/2083 16:34 2094688--^'13 FIFTH FLOOR PAGE 02 <br /> �i <br /> SAN JOAQUIN COUNTY DA <br /> _ , <br /> "iNVIRONMENTAL HEALTH DEPARI)v&NTPAGE <br /> 304 E.WOW Ave.,Third Floor,Stockton,CA 832.02 <br /> (208)488420 <br /> UNDERGROUND sTORAGE TANK(UST)PROGRAM INSPECTION REPORT <br /> Fy p ,,1e IacilityAddress ? '1 <br /> Facllty Contac+ti �fytyu _rv1hD1C)aSTitie Phone# Yy — �f �ir "� <br /> UST#_ Product USTE ProductppeA UST#ProductL:!5&NsT# Product <br /> Owriiq Prevention: AudteleMsual <br /> mechanical Monitoring Panel:'�f 16wtd - EA <br /> Plong system: 0 Cly pyre 0 auction Vioihhh#ions: XMinor 0 Major <br /> Aubonsellic Pum shut sa lies CCR 2M-JM- O YOSIO40 D nater Pan: WYes 0 No &A%V <br /> iNSPiiI:CT*N TYPE: u0ns-YVW honing Certification OCompleMt OI tl [Removal ORepaidUpgrade <br /> t P K ME: TwNWjCiMi NAME: Yhf lr PHONE: `707 / <br /> ViOLATION(S) <br /> The above facility Is not In compliance with the following sedon(s)of Health&Safety Code(HSC),and/or <br /> California Code or Reguiatb <br /> 20 �)(CCR): <br /> Permit to operate <br /> CCR 2712 Maintenance&monitoring <br /> 2 CCR 2837HSC 2524 Secondary cont testing(6 records <br /> mon#M month) 21 CCR 2838(fx4) Annual line tightness test <br /> 3_ '%/,CCR 2711(b)&(c) Current State Farms A s B ZL . CCR 2630(d) Annual line leak detector test <br /> 4 HSC 252822 Cerlifte lon of financiai 23 CCR 2830(d) Annual monitoring vertitk:ation <br /> responsibility and letter from 24 CCR 2643(d) Daly monitoring of suction <br /> chief flnan W officer piping that is not continuously <br /> CCR 2530(d) Continuous,monitoring system monit ed <br /> ibr UST system 25 CCR 2643(d) Triennial tightness test of <br /> e CCR 2636(cx1) All releases in,secondary piping suction piping that is not <br /> flow to a collection sump continuous) monitored <br /> 7 HSC 25291 (e) Waiter in secondary(r)vont 26 CCR 2043(e) Biennial tightness test of grevit <br /> 8 • HSC 25291 (t) Automatic line leak detector(s) piping that is not continuously <br /> 9 GCR 2636(1)(1) Continuous,monitoring system monitored <br /> for underground piping 27 CCR 2862 Upgrade requirements for USi <br /> 10 CCR 2832(c)(2) Continuous monitoring system 2B�CCR 2661 Permit to repair UST system <br /> for System <br /> UST <br /> 11 HSC 25291(x)(2) Secondary containment for 29 HSC 25286(a) Permit to atter monitoring <br /> UST is tightswam <br /> 12 �/CCR 28:16(f)(1) 30 HSC 252tit8(a) � abandonment of UST <br /> for ��g system gym. <br /> 13 CCR 2035(bx1) Spill container 31 HSC 25298(b) Permit to temporarily dose US <br /> 14 CCR 2636(b)(2) OverM prevention system <br /> system <br /> 15 CCR 2631•(a) Primary containment is product- 32 HSC 252N'(c) Permit to dose UST system <br /> 33 HSC 23291 (e) Water in 20 cont analysed and <br /> is HSC 25290.1 UST system is operated to properly dirposed of <br /> pmvent unaulthdrInd mien 34 CCR 2840(e) Single wall component within <br /> 17 CCR 2650 Recordinglreporting 1000'of Public Well,no ELD <br /> unauthorized release 35 CCR 205(a)(2)(A)Catmdic protection testing <br /> 18 CCR 2652(d) monitoring&response plan 36 H&SC 2Mw(s)(9)Disabling leak detect.devices <br /> 19 CCR 2712(I) Monitoring&response pian is 37 Violation(s)not listed above <br /> on site <br /> EHD INSMCTOR: • A L� PHONE: <br /> RECEIVEDBY: .a Ta Le OAJA -cm .-PHONE: 110F5'-V7stgi! <br /> uKriwiT+w�n pia.aeo�1 _ <br />
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