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DATE 7 t7 O 2 <br /> SAN JOAQUIN COUNTY PR# V <br /> ENVIRONMENTAL HEALTH DEPARTMENT PAGE I o ? <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 g °'`� Facility Address f Z j® �° ��r''r' <br /> Y <br /> Facilty Contact A t 2r a QUr N TitlPhone# 4-7 7- <br /> 3 I ! t <br /> UST# 5' Product _ UST#Product P(L UST#7 ProUd�ct Q�� UST# Product <br /> (L 1°� Monitoring Panel: i f �gr RAC-C. <br /> Overfill Prevention: ❑AudibleNisual 4 Mechanical Violations: 1 Minor ❑ Major <br /> Piping System: ❑Gravity -)Pressure ❑Suction r°yuv <br /> ser Pan: VYes 11 No <br /> Automatic Pum Shut Down Satisfies CCR 2636 ❑Yom ant ❑es XNo ®tall n❑Removal ❑Repair/Upgrade <br /> INSPECTION TYPE: 'jl±�toutine`SOvlonitoring Certification ❑C P ����� PHONE: f2�'l(0 <br /> COMPANY NAME: N)VW � TECHNICIAN NAME: M <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 Reg (CCR): <br /> 1 HSC 25284 Permit to operate 2Q_V/ CCR 2712 (b) Maintenance &monitoring <br /> month/36 month) <br /> records <br /> 2 CCR 2637 Secondary cont testing (6 21 CCR 2636 (f)(4) Annual line tightness test <br /> 3 CCR 2711(b)&(c) Current State Forms A&B 22�CCR 2630 (d) Annual line leak detector test <br /> 4 23 CCR 2630 (d) Annual monitoring certification <br /> HSC 25292.2 Certification of financial <br /> 24 CCR 2643 (d) Daily monitoring of suction <br /> responsibility and letter from <br /> .chief financial officer piping that is not continuously <br /> monitored <br /> 5 CCR 2630 (d) Continuous monitoring system 25 CCR 2643 (d) Triennial tightness test of <br /> for UST system suction piping that is not <br /> 6 CCR 2636 (c)(1) All releases in secondary piping continuously monitored <br /> flow to a collection sump <br /> HSC 25291 (e) Water in secondary(2°)cont 26 CCR 2643(e) Biennial tightness test of gravis <br /> 7 <br /> piping that is not continuously <br /> 8 HSC 25291 (f) Automatic line leak detector(s) monitored <br /> 9-CCR 2636(f)(1) Continuous monitoring system 27 CCR 2662 Upgrade requirements for US- <br /> / for underground piping system <br /> 10 V CCR 2632(c)(2) Continuous monitoring system <br /> for UST 28�CCR 2661 Permit to repair UST system <br /> 29 HSC 25286 (a) Permit to alter monitoring <br /> 11 HSC 25291(a)(2) Secondary containment for system <br /> UST is tight 30 HSC 25298 (a) Illegal abandonment of UST <br /> 12 CCR 2636(f)(1) Continuous monitoring system system <br /> for dispenser system 31 HSC 25298 (b) Permit to temporarily close U: <br /> 13 CCR 2635(b)(1) Spill container system <br /> 14 CR 2635(b)(2) Overfill prevention system 32 HSC 25298(c) Permit to close UST system <br /> 15 CCR 2631 (a) Primary containment is product- <br /> tight 33 HSC 25291 (e) Water in 2°cont analyzed an( <br /> properly disposed of <br /> 16 HSC 25292.1 UST system is operated to 34 CCR 2640 (e) Single wall component within <br /> prevent unauthorized release 1000'of Public Well, no ELD <br /> 17 / CCR 2650 Recording/reporting <br /> cording/rep release 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> 18 V CCR 2632(d) Monitoring&response plan 36 H&SC 25299(a)(9)Disabling leak detect. device: <br /> 19CCR 2712 (i) Monitoring&response plan is <br /> 37 Violation(s)not listed above <br /> on site s <br /> EH7�:d <br /> D INSPECTOR: � PHONE: P � <br /> PHONE: <br /> RECEIVED BY: TITLE: <br />