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SAN JOAQUIN COUNTY DATE 5112, 10 <br />PR# <br />&IRONMENTAL HEALTH DEPART PAGE _ I s 2 <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 &(LV— �PV12 ff 17-4 Facility Address MAW 8� 1 AAA0 e( -n4 <br />Facilty ContactAA l`1%Jtr- Si l�`Title C M 1n k' CO- Phone # O Z ) — 7629 <br />UST# I Product UST#z//Product UST# 7 Product UST# Product <br />Overfill Prevention: ❑ AudibleNisual (Amechanical Monitoring Panel: &r% bF A L <br />Piping System: ❑ Gravity R(Pressure ❑ Suction Violations: XMinor ❑ Major <br />Automatic Pump Shut Down Satisfies CCR 2636 ❑ Yes XNo Dispenser Pan: XYes ❑ No <br />INSPECTION TYPE: )(Routine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: N �A TECHNICIAN NAME: Ov (R PHONE: )U IA - <br />VIOLATIONS) <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 <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secondary cont testing (6 <br />month/36 month) <br />3 <br />CCR 2711(b) & (c) <br />Current State Forms A & B <br />4 <br />HSC 25292.2 <br />Certification of financial <br />responsibility and letter from <br />chief financial officer <br />5 <br />CCR 2630 (d) <br />Continuous monitoring system <br />for UST system <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />flow to a collection sump <br />7 <br />HSC 25291 (e) <br />Water in secondary (21) cont <br />8 <br />HSC 25291 (f) <br />Automatic line leak detector(s) <br />9 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />for underground piping <br />10 <br />CCR 2632 (c)(2) <br />Continuous monitoring system <br />for UST <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for <br />UST is tight <br />12 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />for dispenser system <br />13 <br />CCR 2635 (b)(1) <br />Spill container <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />15 <br />CCR 2631 (a) <br />Primary containment is product - <br />tight <br />16 <br />HSC 25292.1 <br />UST system is operated to <br />es <br />prevent unauthorized release <br />17 <br />CCR 2650 <br />Recording/reporting <br />unauthorized release <br />18 CCR 2632 (d) <br />Monitoring & response plan <br />19�CCR <br />2712 (i) <br />Monitoring & response plan is <br />on site <br />EHD INSPECTOR: /444 (JoKi <br />20 V CCR 2712 (b) Maintenance & monitoring <br />records <br />21 CR 2636 (f)(4) Annual line tightness test <br />22CR 2630 (d) Annual line leak detector t <br />23 CCR 2630 (d) Annual monitoring certifica <br />24 CCR 2643 (d) Daily monitoring of suction <br />piping that is not continuo <br />monitored <br />25 CCR 2636 (a) Conventional suction pipin <br />shall have continuous <br />monitoring & 20 containme <br />26 CCR 2643 (e) Biennial tightness test of g <br />piping that is not continuou <br />monitored <br />27 CCR 2662 Upgrade requirements for <br />system <br />28 CCR 2661 Permit to repair UST syste <br />29 HSC 25286 (a) Permit to alter monitoring <br />system <br />30 HSC 25298 (a) Illegal abandonment of US <br />system <br />31 HSC 25298 (b) Permit to temporarily close <br />system <br />32 HSC 25298 (c) Permit to close UST syste <br />33 HSC 25291 (e) Water in 20 cont analyzed <br />properly disposed of <br />34 CCR 2640 (e) Single wall component with <br />1000' of Public Well, no EL <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />36 H&SC 25299(a)(9) Disabling leak detect. devic <br />37 Violation(s) not listed abov <br />PHONE: Li (o �l Q <br />est <br />tion <br />u <br />sly <br />9 <br />nt <br />ravity <br />sly <br />UST <br />m <br />T <br />UST <br />m <br />I RECEIVED BY:-'--) l'-", S�, (A TITLE: <br />UNITIIWST/WSP (rev 724/02) <br />and <br />in <br />D <br />es <br />e <br />I RECEIVED BY:-'--) l'-", S�, (A TITLE: <br />UNITIIWST/WSP (rev 724/02) <br />