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C� <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sicehd.com <br />Facility Facility Inspection <br />Name: Address: Date: <br />401 <br />CCR 2636(a)(3) <br />Suction piping not properly sloped or incorrectly located check valve (V705) <br />❑ <br />❑ ❑ <br />402 <br />CCR 2643(d) <br />Daily monitoring of suction pipe (pre -Jan 1984) not performed (V726) <br />❑ <br />❑ ❑ <br />403 <br />CCR 2643(d) <br />Triennial 0.1 gph line test for conventional suction piping not performed (pre -January 1984) (V664) <br />❑ <br />❑ ❑ <br />404 <br />CCR 2643(e) <br />Biennial 0.1 gph test for gravity piping not performed (pre -January 1984) (V665) <br />❑ <br />❑ ❑ <br />x- <br />u <br />2010 <br />See below <br />Unlisted Administration/Documentation violation (V736) <br />❑ <br />❑ ❑ <br />2030 <br />See below <br />Unlisted Operations/Maintenance violation (V743) <br />❑ <br />❑ ❑ <br />2060 <br />See below <br />Unlisted Design/Construction violation (V745) <br />❑ <br />❑ ❑ <br />Received by (printed name): I Inspector: <br />UST INSPECTION REPORT <br />