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Y DATE dl 1bg <br />SAN JOAQUIN COUNTY PR# <br />ENVIRONMENTAL HEALTH DEPARTMENT PAGE T2- <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 lA 6F %4.05S>L F— Facility Address LtLIL( /0nSSDJ4(E rD_ �►�� <br />Facilty Contact 3—e.wz L- 5$f�S Title AAAAA fly— Phone # 231-1— 12,54=> <br />UST# L( Product_ UST#Product D'Ie5x4UST#ProducUST# Product <br />Overfill Prevention: ❑ AudibleNisual ,Mechanical Monitoring Panel:y K TLS 3S -L-3 <br />Piping System: ❑ Gravity ;(Pressure ❑ Suction Violations: X Minor ❑ Major <br />Automatic Pump Shut Down Satisfies CCR 2636 Yes ❑ No Dispenser Pan: XYes ❑ No <br />INSPECTION TYPE: ❑Routine Wonitoring Certification []Complaint []Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: A b1 +ZL(^ TECHNICIAN NAME: /Of& _dip X0.1 PHONE: 7tl3 -8aL1( <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 <br />2 CCR 2637 <br />3 CCR 2711(b) & (c) <br />4 HSC 25292.2 <br />5 CCR 2630 (d) <br />6 CCR 2636 (c)(1) <br />7 <br />HSC 25291 (e) <br />8 <br />HSC 25291 (f) <br />9 <br />CCR 2636 (f)(1) <br />10 <br />CCR 2632 (c)(2) <br />11 <br />HSC 25291(a)(2) <br />12 <br />CCR 2636 (f)(1) <br />13 CCR 2635 (b)(1) <br />14 CCR 2635 (b)(2) <br />15 CCR 2631 (a) <br />16 HSC 25292.1 <br />17 CCR 2650 <br />18 v CCR 2632 (d) <br />19CCR 2712 (i) <br />Permit to operate <br />20 <br />CCR 2712 (b) <br />Maintenance & monitoring <br />Secondary cont testing (6 <br />records <br />month/36 month) <br />21 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />Current State Forms A & B <br />22 <br />CCR 2630 (d) <br />Annual line leak detector test <br />Certification of financial <br />23 <br />CCR 2630 (d) <br />Annual monitoring certification <br />responsibility and letter from <br />24 <br />CCR 2643 (d) <br />Daily monitoring of suction <br />chief financial officer <br />piping that is not continuously <br />Continuous monitoring system <br />monitored <br />for UST system <br />25 <br />CCR 2636 (a) <br />Conventional suction piping <br />All releases in secondary piping <br />shall have continuous <br />flow to a collection sump <br />monitoring & 20 containment <br />Water in secondary (2°) cont <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gravit,, <br />Automatic line leak detector(s) <br />piping that is not continuously <br />Continuous monitoring system <br />monitored <br />for underground piping <br />27 <br />CCR 2662 <br />Upgrade requirements for UST <br />Continuous monitoring system <br />system <br />for UST <br />28 <br />CCR 2661 <br />Permit to repair UST system <br />Secondary containment for <br />29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />UST is tight <br />system <br />Continuous monitoring system <br />30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />for dispenser system <br />system <br />Spill container <br />31 <br />HSC 25298 (b) <br />Permit to temporarily close US - <br />Overfill prevention system <br />system <br />Primary containment is product- <br />32 <br />HSC 25298 (c) <br />Permit to close UST system <br />tight <br />33 <br />HSC 25291 (e) <br />Water in 20 cont analyzed and <br />UST system is operated to <br />properly disposed of <br />prevent unauthorized release <br />34 <br />CCR 2640 (e) <br />Single wall component within <br />Recording/reporting <br />1000' of Public Well, no ELD <br />unauthorized release <br />35 <br />CCR 2635(a)(2)(A) Cathodic protection testing <br />Monitoring & response plan <br />36 <br />H&SC 25299(a)(9) Disabling leak detect. devices <br />Monitoring & response plan is <br />37 <br />Violation(s) not listed above <br />on site <br />EHD INSPECTOR: 1?A" W -)PJ C(V4--, PHONE: 2VI - L - 3 0 _6 S J <br />RECEIVED BY: 'A"7,?, -.Y,�y/_T�`.� TITLE: C_P-,5"4 I <br />