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SAN.JOAQUIN COUNTY
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 East Main Street, Stockton, California 95202-3029
<br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd/unitiii.html
<br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT
<br /> Facility name: Inspection date:
<br /> Marigold Shell August 16, 2011
<br /> Facility address: UST#/ 4 5 6
<br /> 6131 Pacific Ave, Stockton Product 87 91 DSL
<br /> Facility contact: Title: Phone:
<br /> Tami Nguyen Cashier- 952-4862
<br /> Monitoring panel: Piping system: Overfill prevention: Violations:
<br /> Veeder-Root TLS-350 Xpressurized auction❑Gravity ❑X Mechanical ]Ml-RDetect❑M2-RPrev
<br /> Audible/visual ❑M3 Both
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<br /> Inspection type: Designated operator: ICC exp.date:
<br /> ❑X Routine OX Monitoring Certification ❑Installation ❑Other Kathy Kotulak 8-6-12
<br /> On site Service Technician's name: ICC exp.date: Manufacturers training:
<br /> Zane Nimmo 6-13-13 TT: 2-28-13, VR: 9-23-11, VMI: 1-27-13
<br /> # Code Section IA
<br /> HSC=CA Health&SafetyCode; CCR=CA Code oResV Regulations;V=Violation; RV=Re eat Violation V
<br /> 1 HSC 25284 No permit tooperate
<br /> Secondary containment: (a)test not performed; (e)test report not submitted within 30 days; (f)test
<br /> 2 CCR 2637 notification not provided to the Environmental Health Department(EHD)at least 48 hours prior to
<br /> conducting the test
<br /> 3 CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form
<br /> 4 HSC 25292.21 Current financial responsibil V documents not on file with the EHD X
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