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05/06/2004 13:25 2094683433 FIFTH FLOOR PAGE 02 <br /> ' SAN JOAQUIN COUNTY PATE <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 Nam® Facility Address Gael, <br /> Facllty Contact ��t �Titi+e_ Q Phone# 12�Z 9 - <br /> UST# A- Product USl'#Product UST# Product UST# Product <br /> Overfill Prevention: ❑Audible/Vlsuaf 16echanical Monitoring Panel, <br /> Piping System; ❑GravityPressure C Suction Violations: 101 Minor ❑Major <br /> Automatic Pum Shut Down Sat flee CCR 216 fl Yes o Die sneer Pan: es ❑No <br /> INSPECTION TYPE: Woutine oriitoring Certification ❑Complaint ❑Install ❑Removal CRepair/Upgrade <br /> COMPANY NAME: TECHNICIAN NAME: PHONE: <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 Regulations (CCR): <br /> 1 HSC 26284 Permit to operate 20 V CCR 2712(b) Maintenance&monitoring <br /> 2 CCF-2637 Secondary cont testing(6 records <br /> month/36 month) 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 tine leak detector test <br /> 4HSC 25292.2 Certification of financial 23 CCR 2630(d) Annual monitoring certification <br /> responsibility and letter from 24 CCR 2643(d) Daily monitoring of suction <br /> chief financial officer piping that is not continuously <br /> 5 CCR 2630(d) Continuous monitoring system monitored <br /> for UST system 25 CCR 2636(a) Conventional suction piping <br /> 6 CCR 2636(c)(1) All releases in secondary piping shall have continuous <br /> flow to a collection sump monitoring&20 containment <br /> 7 HSC 25291 (e) Water in secondary(20)cont 26 CCR 2643(e) Biennial tightness test of gravit± <br /> 8_._. HSG 25291 (f) Automatic line leak detector(s) piping that is not continuously <br /> 9 CCR 2636(f)(1) Continuous monitoring system monitored <br /> for underground piping 27, CCR 2662 Upgrade requirements for UST <br /> 10 CCR 2632(c)(2) Continuous monitoring system System <br /> for UST 28 CCR 2661 Permit to repair UST system <br /> 11 HSC 25291(a)(2) Secondary containment for 29 HSC 25286(a) Permit to after monitoring <br /> UST is tight system <br /> 12 CCR 2636(f)(1) Continuous monitoring system 30 HSC 25298(a) Illegal abandonment of UST <br /> for dispenser system system <br /> 13CCR 2635(b)(1) Spill container 31—HSC HSC 25298(b) Permit to temporarily close US" <br /> _ <br /> 14 CCR 2635(b)(2) Overfill prevention system system <br /> 15 CCR 2631 (a) Primary containment Is product- 32 HSC 25298(c) Permit to close UST system <br /> tight 33 HSC 25291 (e) Water in 20 cont analyzed and <br /> 16 HSC 25292.1 UST system is operated to properly disposed of <br /> prevent unauthorized release 34 CCR 2640(e) Single wall component within <br /> 17 CCR 2650 Recording/reporting 1000'of Public Well, no ELD <br /> unauthorized 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.devices <br /> 19 CCR 2712(i) Monitoring&response plan is 37 Violation(s)not listed above <br /> on site <br /> EHD INSPECTOR: �, PHONE: <br /> RECEIVED BY: 6CTITLE:, <br /> UNRItYUSTI NSP(rev 7241M <br />