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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.s4qov.org/ehd/unitiii.ht] <br />Facility name: <br />Designated Operator: Exp. date* <br />Inspection <br />Dat <br />Facility address: W <br />Facility contact: <br />Phone: <br />Monitoring panel: <br />I Piping system: Overfill prevention: <br />i 1,Vz$Aechanical 11 Audible/visual <br />nslYection type: <br />Violations: <br />'.,�Qonitoring Certification 0 Installation El Other: A M 1 -RDetect El M2-RPrev Both <br />_pMoutine <br />M11IMPROCIPM <br />11A[CC <br />Service Technician Exp. Date: <br />-- -11-M-3 <br />Manufacturer's Training: Vj-A7jr L 4e <br />ISM <br />y <br />X?!�--xzjhl <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=Califomia Code of Regulations <br />Code Section <br />V=Violation, RV=Repeat Violation <br />NO permit to operate <br />JM-07.01@16PI <br />WO <br />in! "M 9ffTsTr.TVF.rr,1Wr$R=,=,. <br />Current financial responsibility documents not on file with the EHD- <br />"KeTSIVWA�� <br />Monitoring and/or response plan is not onsite <br />W I <br />CCR 2712(b) <br />nitoring of suction piping (pre -January 1, 1984) not performed <br />monitoring system is -not present in the interstitial space of a double walled UST/piping (Ml) 1 <br />US I system monitoring equipment is not operational (Ml)—I LIMA <br />CCR 2 636(f)(1) <br />U1111,1111100. <br />MERAW-33111-1�III <br />P imary con tainment is not product tight <br />=ndary containment for UST system is not tight <br />= JI I 1150171 A 57.11 P.M I <br />E a PTA ww"M 11111 <br />Line leak detector(s) not installed (Mi) <br />111111W.11M IMI, <br />Water in 21 containment not removed, analyzed & properly disposed of <br />release that: (p) did not escape secondary containment and cleaned up within eight hours (Mi) <br />O�Unauthorized <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />__product <br />RMMW' rA te 0 , <br />Failed to inform the EHD of a change of designated operator within 30 days <br />Designated operator did not possess a current ICC UST System Operator certification <br />NONNI` 6111911we"'I WIN W-1111191 0 PA10161914161 W I 1 0 <br />• <br />Designated operator employee training: (1) not performed; (2) not current for at 3) <br />i6ast one employee on site;( <br />loq not kept <br />FA <br />END 23-02-002 REV 12/09 Page 1 UST INSPECTION REPORT <br />