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0 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.html <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />W * r:P-11 qlj 0) <br />Facility name: <br />Designated Opetator: Exp. date: <br />A -la ja lhq,6 <br />Inspection <br />Dato. <br />Facility address: <br />wil <br />-4 f Sim <br />to <br />Faci I ity contact: <br />Phone: <br />re, Q aL a,&) 1942 <br />Monitoring panel: <br />VP -FZ—S <br />1 131 ing system: <br />�;?Fressurized ---[]Suction 0 Gravity <br />__�f515_0 <br />Inspection type: ea C' -jVr-� lQe pC�-j� Violations: <br />Voutine )011on(oring Certification ation El Other: 501 -RDetect 0 M2-RPrev 11 M-3 Both <br />tall <br />• <br />ICC Service Technician Ex,p. Date- <br />v 4 hipho <br />U, <br />INS MW <br />Code Section <br />No permit to operate <br />111110- <br />3111.11011 -IN <br />Ammle, <br />Current financial responsibility documents not on file with the EHD <br />MET'r.". <br />fln.. IT, "11 M. MW 111 sum�g <br />MWEIFRR�� <br />Monitoring and/or response plan is not onsite <br />CCR 2712(b) <br />Daily monitoring of suction piping (pre -January 1, 1984) not performed <br />UST s tem is not operated to prevent unauthorized release, including spills and overfills <br />Monitoring system is not present in the interstitial space of a double walled UST/piping <br />0=14-196yWILIgIIIIIIIIIIIIIIIIIIIIIi <br />UST system monitoring equipment is not operational (MI) <br />mar <br />ffft, <br />Primary containment is not product tight <br />All releases in secondary piping do not flow to a collection sum p <br />Line leak detector(s) not installed (MI) <br />CCR 2635(b)(1) <br />Spill container not installed, failed to contain a minimum capacity of five gallons, or failed to provide (M2) <br />a means_to keep the s I container emp <br />uqv; <br />Water in 21 containment not removed, analyzed & properly disposed of <br />MINIM 101944 <br />Failed to inform the EHD of a change of designated operator within 30 days <br />I <br />r*MSy4Fj2T*TAb <br />EHD 23-02-002 REV 12/09 Page 1 LIST INSPECTION REPORT <br />