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p Vt dfi""' %.� K-- +a� ® <br />/ �IMA'� �� 5t"lin-► <br />®K C�. �tn G eA <br />FJ 62, S S S mo-I't iTur S sTr�t !esr <br /><S N i dOAbIJIN COUNTY <br />PI <br />. E s-; c t,..ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Third Floor, Stockton, CA 95202 <br />304 E. Weber Ave., <br />(209)468-3420 <br />fy <br />t)NDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name Facility Address <br />Facilty Contact <br />Phone <br />UST# S Product''''= UST# O�\ UST#'j-Pnoduct `?- UST# Product <br />/Product <br />Overfill Prevention: 0 AudibieMsyal Mechanical Monitoring Panel: <br />�, G _ <br />0 ssure 0 Suction Violations: <br />Piping System: Gravity re <br />6'M <br />�or 0 Major_ <br />Automatic Pump Shut <br />wn Sati es CCR 2636 es 0 No Dts enser Pan: <br />0,, es 0 No <br />INSPECTION TYPE: Ekoutine <br />aMonitoring Certification ❑Complaint Dlnstall ORemoval <br />❑Repair/Upgrade <br />COMPANY: NAME: TECHNICIAN NAME: 9V1> "off PHONE: \b" \:rjnA <br />76 <br />NCO <br />VIOLATION ) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) arWor <br />California Code of Regulations (CCR): <br />1 HSC 25284 <br />Permit to operate <br />20 CCR 2712 (b) <br />Maintenance & monttdring <br />2 CCR 2637 <br />Secondary cont testing (6 <br />l 21 CCR 2636 (f)(4) <br />records <br />Annual tine ttahtiterss test„ <br />CCR 2711(b) & (c) <br />34—HSC <br />month/36 month) <br />Current State Forms A B <br />22 CR 2630 (d) <br />2630 <br />Annual l leal'eli eft , f <br />Annual mon on <br />taftcetion ; <br />4 25292.2 <br />Certification of financial <br />23-/ CCR (d) <br />responsibility and letter from <br />24 CCR 2643 (d) <br />Daily monitorir99 of ion <br />chief financial officer <br />piping that isnot cotttir#ous3y <br />5 CCR 2630 (d) <br />Continuous monitoring system <br />monitored <br />for UST system <br />25 CCR 2643 (d) <br />Triennial tightness, test of <br />6 CCR 2636 (c)(1) <br />All releases in secondary piping <br />suction piping that;Wnot <br />now to a collection sump <br />continuously monitorpd <br />7 HSC 25291 (e) <br />Water in secondary (20) cont <br />26 CCR 2643 (e) <br />Biennial, tightness test of.grevity, <br />8 HSC 25291 (f) <br />Automatic line leak detector(s) <br />piping tha.ks;nip cottt(tluous_fy <br />9 CCR 2636 (f)(1) <br />Continuous monitoring system <br />for underground piping <br />27 CCR 2662 <br />monitored <br />Upgrade requirements (gr UST <br />10 CCR 2632 (c)(2) <br />Continuous monitoring system <br />system <br />for UST <br />28 CCR 2661 <br />Permit to repalr UST- , <br />11 HSC 25291(a)(2) <br />Secondary containment for <br />29 HSC 25286 (a) <br />Permit to alter monitorfr<g <br />12 CCR 2636 (0(1) <br />UST Is tight <br />Continuous monitoring system <br />30 HSC 25298 (a) <br />system <br />Illegal abandonment of UST <br />/ <br />13 ✓ CCR 2635 (b)(1) <br />for dispenser system <br />Spilt container 6l l.. �S <br />31 HSC 25298 (b) <br />system <br />Permit to temporarily close UST <br />14 CCR 2635 (b)(2) <br />® 15 CCR 2631 (a) <br />Overfill prevention system <br />Primary containment is product- <br />32 HSC 25298 (c) <br />system <br />Permit 4o close UST system <br />tight <br />33 HSC 25291 (e) <br />Water in 20 cont analyzed and <br />16 HSC 25292.1 <br />UST system is operated to <br />properly disposed of <br />prevent unauthorized release <br />34 CCR 2640 (e) <br />Single wall component within <br />17 CCR 2650 <br />Recording/reporting <br />1000' of Public Well, no ELD <br />unauthorized release <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />187CCR 2632 (d) <br />Monitoring & response plan <br />36 H&SC 25299(a)(9) Disabling leak detect. devices <br />19__y __CCR 2712 (I) <br />Monitoring & response plan, Is <br />37 <br />Violation(s) not listed above <br />on site <br />