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SAN JOAQUIN COUNTY DATE r l75 <br /> PR# .� _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT PAGE \ — <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name\4A%:N FOOD4\ ` Facility Address2>\NQ5 <br /> Facilty ContactlUlV Title'W4• Phone <br /> UST#moi Product USTA Product UST#%Product UST#°` Product°%\ <br /> Overfill Prevention: AudibleNisp al ❑ Mechanical Monitoring Panel: J ,q- -.5-3517 <br /> Piping System: Gravity V/Pressure ❑SuctionViolations: M1-RDet FE M2-Rprev ❑ M3-Both <br /> Automatic Pump Shut Dpwn Sati fies CCR 2636 5 : N_-//'es❑ No Designated Operator: 44xvoE�) <br /> INSPECTION TYPE: outine onitoring Certification ❑Complaint ❑Install -Removal ❑Repair/Upgrade <br /> COMPANY NAME:-0-.VC E:_'j4TECHNICIAN NAME: SVC4;. S "C PHONE: <br /> VIOLATION(S) <br /> The above facility is not in compliance with the following section(s) of Health &Safety Code (HSC) and/or <br /> California Code of Regulations (CCR): <br /> 1 HSC 25284 Permit to operate 23 CCR 2643(d) Daily monitoring of suction <br /> 2 CCR 2637 Secondary cont. testing piping (pre-1/1/84) <br /> 3 CCR 2711(b) &(c) Current State Forms A& B 24 CCR 2636(a) Conventional suction piping <br /> 4 HSC 25292.2 Certification of financial shall have continuous <br /> responsibility&CFO letter monitoring&20 containment <br /> 5 CCR 2632 (c)(2) UST monitoring is present(M1) 25 CCR 2643(e) Biennial tightness test of gravity <br /> 6 CCR 2630 (d) UST system monitoring piping(pre-1/1/84) <br /> equipment is properly located to 26 CCR 2643(d) Triennial line test for <br /> detect a leak(M1) conventional suction(pre- <br /> 7 HSC 25291 (b) UST system monitoring 1/1/84) (M1) <br /> equipment is operational(M1) 27 CCR 2661 Permit to repair UST system <br /> 8 CCR 2636 (f)(1) Continuous monitoring system 28 HSC 25286(a) Permit to alter monitoring <br /> for underground piping &UDC system <br /> is present(M1) 29 HSC 25298(a) Illegal abandonment of UST <br /> 9 CCR 2636 (c)(1) All releases in secondary piping system <br /> flow to a collection sump 30 HSC 25298 (b) Permit to temporarily close UST <br /> 10 HSC 25291 (f) Line leak detector(s) (M1) system <br /> 11 HSC 25291(a)(2) Secondary containment for 31 HSC 25298(c) Permit to close UST system <br /> UST is tight 32 HSC 25292.1 UST system is operated to <br /> 12 CCR 2635(b)(1) Spill container(M2) prevent unauthorized release <br /> 13 HSC 25284.2 Annual spill container testing 33 CCR 2650 Recording/reporting <br /> 14 CCR 2635 (b)(2) Overfill prevention system (M2) unauthorized release(M1) <br /> 15 CCR 2631 (a) Primary containment is product- 34 HSC 25291 (e) Water in 20 cont analyzed and <br /> tight properly disposed of <br /> 16 CCR 2632 (c)(2)(D)Monitoring&response plan 35 CCR 2640(e) Single wall component within <br /> 17 CCR 2712 (i) Monitoring&response plan is 1000'of Public Well, no ELD <br /> on site 36 CCR 2635(a)(2)(A)Cathodic protection testing& <br /> 18 CCR 2712 (b) Maintenance&monitoring 60 day inspection log(M2) <br /> records(M1) 37 HSC 25299(a)(9) Disabling leak detect. Devices <br /> 19 CCR 2636(f)(4) Annual line tightness test 38 CCR 2715(a) Statement from UST owner <br /> 20 CCR 2638 (a) Annual line leak detector test 39 CCR 2715(c) Monthly inspection by D.O, <br /> (M1) 40 CCR 2715(f) D.O. trained employees <br /> 21 CCR 2638(a) Annual monitoring certification 41 Violation(s) not listed above <br /> 22 CCR 2661 (f) Repair for tank/piping has had <br /> ti htnes MZ <br /> EHD INSPECT : \ PHONE: �oC6'3j <br /> RECEIVED BY: TITLE: _ <br /> Septic System: 0 Serves>_20 persons/day ❑Receives other than sanitary waste <br /> Other Disposal Units Identified: ❑Dry wells/French Drains <br /> C 00cuments and Settings\dwilson\Oesktop\UST inspection91504.DOC <br /> I <br />