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Nov 06 03 02:37p Bldgs, (Z 468-4757 p.3 <br />FIFTH R.00R PAGE 01 <br />10/3)/2003 15:01 20946_-+33 DAT[:-:LQ&&Q <br />SAN JOAOUIN COUNTY 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 6D. -':ry4jt1 r Facility Address!7 3 <br />Facilty Contac (.��Titte,Phone # 4 <br />VST#_L_ Product`'ASkje.'U5T#'2-ProductUST#F Product UST Product <br />Overfill Prevention: Q AudiblelVisual Mechanical Monitoring Panel; <br />Piping System: . 0 Gravity 0 Pressure Suction Violations; O Minor D Maicr <br />Automatic Pump Shut Down Satisfies CCR 2636 (o): 0 Yes XNo Dispenser Pan: 0 Yes 110 <br />INSPECTION TYPE: ❑Routine oMonitoring Certification OComplaint ®Install oRemoval ORepair/Upgrade <br />1NAME: <br />NAME: f Y1 -V-- AIWMrn PI ZONE: <br />The above focality 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 opel•ate <br />2 <br />CCR 2637 <br />Secondary cont testing (6 <br />21 <br />CCR 2636 (f)(4) <br />month/36 month) <br />3. CCR 2711(b) & (c) Current State Forms A & B <br />4H5C <br />25292.2 <br />Certification of financial <br />CCR 2630 (d) <br />Annual monitoring certification <br />responsibility and letter from <br />CCR 2643 (d) <br />Uaily monitoring of suction <br />chief Financia( officer <br />5 <br />CCR 2630 (d) <br />Continuous monitoring system <br />monitored <br />for UST system <br />6 <br />_CCR 2636 (c)(1) <br />All releases in secondary piping <br />shall have cuntinuous <br />flow to a collodion sump <br />7 <br />HSC 25291 (e) <br />Water in secondary (20) cant <br />13 <br />HSC 25291 (f) <br />Automatic line leak detectors) <br />9_,_CCR <br />2636 (f)(1) <br />Continuous monitoring system <br />monitored <br />for underground piping <br />10. <br />_ CCR 2632 (c)(2) <br />Continuous monitoring system <br />system <br />for UST <br />11 <br />HSC 25291(a)(2) <br />Secondary containment For <br />HSC 25286 (a) <br />Permit to alter monitoring <br />UST is tight <br />12 <br />CCR 2636 (f)(t) <br />Continuous monitoring system <br />HSC 25298 (a) <br />Illegal abandonment of UST <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 />NSG 25295 (c) <br />Permit to close UST system <br />tight <br />16 <br />HSC 25292.1 <br />UST system is operated to <br />properly disposed of <br />prevent unauthorized release <br />17 <br />CCR 2650 <br />Recoraing/reponing <br />1000' of Public Well, no ELD <br />unauthorized release <br />16 <br />CCR 2632 (d) <br />Monitoring & response plan <br />19 <br />CCR 2712 (i) <br />Monitoring & response plan is <br />Violation(s) not listed'abovc <br />an site <br />IJ D <br />BY <br />UIWTIIUU5Tra13P biro 7t2W W1J <br />2p <br />CCR 2712 (b) <br />Mainiettarme & Inonitoring <br />records <br />21 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />22 <br />CCR 2630 (d) <br />Annual line leak detector test <br />23 <br />CCR 2630 (d) <br />Annual monitoring certification <br />24 <br />CCR 2643 (d) <br />Uaily monitoring of suction <br />piping that is not continuously <br />monitored <br />25 <br />CCR 2635 (a) <br />Conventional suction piping <br />shall have cuntinuous <br />monitoring & 2' Containment <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gravih <br />piping that is not continuously <br />monitored <br />27 <br />CCR 2662 <br />Upgrade requirements for UST <br />system <br />28 <br />CCR 2564 <br />Permit to repair UST system <br />29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />system - <br />31 <br />HSC 25298 (b) <br />Permit to temporarily CIO$$ USI <br />system <br />32 <br />NSG 25295 (c) <br />Permit to close UST system <br />33 <br />NSC 2529' (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />34 <br />CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />35 <br />CCR 2635(a)(2)(A) Cathodic protection testing <br />35 <br />H&SC 25299(a)(9)Disabling <br />leak detect, devices <br />37 <br />Violation(s) not listed'abovc <br />PHONE: <br />