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Nov 06 03 02:37p Gt. Bldgs. (2 )468-4757 p.3 <br />10131/2003 15:01 70'34 33 FIFTH FLOOR PAGE 01 <br />SAN JOAOUIN COUNTY °Ari ' D <br />ENVIRONMENTAL HEALTH DEPARTMENT PR# <br />PAGE <br />304 5. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name � Facility Address - <br />Facilty Contec '-r�Title-_! g Phone <br />UST# -L- Product_jarzjgM,.,U5T# '4 Product UST# Product-t)$T# Product - <br />Overfill Prevention: Q AudiblelVisual Mechanical Monitoring Panel: <br />Piping System: . ❑ Gravity G Pressure Vsuction Violations: ❑ Minor ❑ Maior <br />Automatic Pume Shut Down Satisfies CCR'266 : ❑ Yes XNo Dispenser Pan. 0 Yes, 0 <br />INSPECTION TYPE: ❑Routine ❑Monitoring Certification OComplaint Oinstall ❑Rernoval GRepair/Upgrade <br />COMPANY NAME:TECHNICIAN NAME:IYLr- Q/u"ry P1110NE:45&-?a, <br />VIOLATIONS) <br />The a0ove facility is not in compliance with the following section(s) or Health & Safety Coce (HSC:) and/or <br />California Code of Regulations (CCR): <br />i_ <br />HSC 25284 <br />Permit to operate <br />2 <br />-COR 2637 <br />Secondary cont testing (6 <br />21 <br />CCR 2536 (f)(4) <br />month/36 month) <br />3" _CCR 2711(b) & (c) <br />Current State Forms A & 6 <br />4HSC <br />25292.2 <br />Certification of financial <br />Annual monitoring certification <br />24 <br />responsibility and letter from <br />Daily monitoring of suction <br />chief financia( officer <br />5 <br />CCR 2630 (0) <br />Continuous monitoring system <br />monitored <br />25 <br />for UST system <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />shall have continuous <br />flow to a collection Bump <br />7 <br />HSC 25291 (e) <br />Water in Secondary (2°) cont <br />8 <br />HSC 25291 (f) <br />Automatic tine leak detectors) <br />g._CCR <br />2636 (f)(1) <br />Continuous monitoring system <br />monitored <br />27 <br />for underground piping <br />10. ,CCR <br />2632 (c)(2) <br />Continuous monitoring system <br />system <br />28 <br />for USI' <br />1 l <br />HSC 25291(a)(2) <br />Secondary containment for <br />Permit to alter monitoring <br />UST is tight <br />12___CCR <br />2636 (f)(t) <br />Continuous monitoring system <br />Illegal abandonment of UST <br />for disponser syrtom <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 />Permit to close UST system <br />33 <br />tight <br />16 <br />HSC 25292.1 <br />UST system is operated to <br />properly disposed of <br />34__CCR <br />prevent unauthorized release <br />17 <br />CCR 2650 <br />Recording/reporting <br />1000' of Public Well, no ELD <br />35.__ <br />unauthorized release <br />1B <br />CCR 2632 (d) <br />Monitoring & response plan <br />til <br />CCR 2712 (i) <br />Monitoring & response plan is <br />on site <br />INS <br />UNTI1VUSTvkN3P jr m4 a,) <br />20 <br />CCR 2712 (b) <br />Maintelfance & monitoring <br />records <br />21 <br />CCR 2536 (f)(4) <br />Annual tine tightness test <br />22 <br />CCR 2630 (d) <br />Annual line leak detector rest <br />23 <br />CCR 2630 (d) <br />Annual monitoring certification <br />24 <br />CCR 2643 (d) <br />Daily monitoring of suction <br />piping that is not continuously <br />monitored <br />25 <br />CCR 2635 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 2' Containment <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gravit% <br />piping that is not continuously <br />monitored <br />27 <br />CCR 2662 <br />Upgrade requirements for UST <br />system <br />28 <br />CCR 2661 <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 />ay34em - <br />31 <br />HSC 25298 (b) <br />Permit to temporarily close UST <br />system <br />32 <br />HSC 25298 (c) <br />Permit to close UST system <br />33 <br />HSC 25291 (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />34__CCR <br />2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />35.__ <br />CCR 2635(a)(2XA) Cathodic protection testing <br />36 <br />H&SC 25299(a)(9) Disabling leak detect. devices <br />37 <br />Violation(s) not listed abovc <br />PHONE: <br />