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SAN JOAQUIN COUNTY <br /> QNSONMENTAL 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.htmi <br /> CONTINUATION FORM Page: 3 of 3 <br /> OFFICIAL INSPECTION REPORT Date: 06-25-10 <br /> Facility Address: Quick Stop#125 1580 West Main St., Ripon Program: UST <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-Notice to Comply) <br /> UST Inspection: Routine and Annual Monitoring System Certification <br /> # 3. Current Unified Program Consolidated Forms (Facility Form A and Tank Form B) are not on current <br /> up-to-date forms. Forms can be found at http://www.sigov.org/ehd/Programs/Unitill/ust.htmi. Correct by <br /> submitting Facility Form A and Tank Form B (one per tank) to SJC EHD within 30 days (07-25-10). <br /> # 13. Failed to maintain continuous monitoring system for the under dispenser containment to stop the <br /> flow of product when it detects a leak. When testing the diesel bravo float with liquid in UDC 5/6, the <br /> bead chain did not provide sufficient tension (too much slack) to trip the shear valve. UDC must be <br /> equipped with a continuous monitoring system that stops the flow of product upon detection of a leak. <br /> • Corrected on-site. Technician re-adjusted the chain. <br /> Submit to SJC EHD within 30 days (07-25-10): <br /> 1. one copy of the Return to Compliance Certification <br /> 2. corrective action statement for the above violations <br /> 3. requested/supporting documentations <br /> Notes: <br /> • Secondary containment next tri-annual testing due by 09/2010. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspecto: Received By:A Title: �� <br />