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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.sagov.org/ehd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT CONTINUED <br /> Facility Mari old Shell Facility 6131 Pacific Ave, Stockton Inspection Aug 27, 2012 <br /> Name. g Address: Date: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=CA Health and SafetyCode:CFR=Code of Federal Regulations <br /> C1=Class 1 violation,C2=Class 2 violation,M=Minor violation <br /> Non-Pressurized Piping(continued) <br /> 702 CCR 2643(e) Biennial tightness test of gravity piping not performed(pre-January 1,1984) (M1) <br /> 703 CCR 2643(d) Triennial line test for conventional suction piping not performed(pre-January 1,1984) (M1) <br /> Other Violations <br /> 999 Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> Routine and Monitoring System Certification UST inspection <br /> 104. Financial responsibility documents have not been submitted to the EHD. Current financial <br /> responsibility documents are required to be submitted annually. Complete and submit a copy of the <br /> Certificate of Financial Responsibility and the current insurance document (or equivalent mechanism) by <br /> September 27, 2012. <br /> Notes <br /> 1. Complete the following by September 27, 2012 and send to the San Joaquin County Environmental <br /> Health Department: <br /> a. The Return to Compliance Certification form. <br /> b. A statement explaining how each violation was corrected. <br /> c. Supporting documentation. <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 /> Inspector. Im, d Bey: Title: > <br /> EHD 02 Rev 04/19/12 Page 3 ,.r IV <br /> II UST INSPECTION REPORT <br />