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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siaov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT CONTINUED <br />Facility MCI Verizon Facility 13850 N. DeVries Rd. Lodi, CA Inspection Se 11, 2014 <br />Name: Address: Date: p <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />On site to witness the annual monitoring system certification testing and conduct the routine inspection. <br />No violations noted at time of inspection. <br />Note: <br />Per HSC 25404(e)(4) Electronic submittal requirement on the California Electronic Reporting System <br />(CERS) must be updated as needed. Facility shall submit electronic information for hazardous materials <br />management system, including Hazardous Waste and UST on the CERS website which can be found at <br />http-Hcers.calepa.gov/. Continue to comply with the CERS electronic submittal requirement per this <br />section. Remember to upload test results into the CERS within 30 days of the test(s). <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Inspector. Received Title:: <br />/ T ✓1%irll� �C. /�d� <br />=HD 23-02 Rev 04/19/12 Page 3 UST INSPECTION REPOR <br />VIOLATIONS <br /># <br />C1 <br />C2 <br />M <br />Code Section <br />HSC = CA Health and SafetyCode; CFR = Code of Federal Regulations <br />C1 = Class 1 violation, C2 = Class 2 violation; M = Minor violation <br />Non -Pressurized Piping (continued) <br />702 <br />CCR 2643(e) <br />Biennial tightness test of gravity piping not performed (pre -January 1, 1984) (M1) <br />703 <br />CCR 2643(d) <br />Triennial line test for conventional suction piping not performed (pre -January 1, 1984) (Mi) <br />Other Violations <br />999 <br />Other: <br />See attached "Continuation — Official Inspection Report" for violation(s) not listed above. <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />On site to witness the annual monitoring system certification testing and conduct the routine inspection. <br />No violations noted at time of inspection. <br />Note: <br />Per HSC 25404(e)(4) Electronic submittal requirement on the California Electronic Reporting System <br />(CERS) must be updated as needed. Facility shall submit electronic information for hazardous materials <br />management system, including Hazardous Waste and UST on the CERS website which can be found at <br />http-Hcers.calepa.gov/. Continue to comply with the CERS electronic submittal requirement per this <br />section. Remember to upload test results into the CERS within 30 days of the test(s). <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Inspector. Received Title:: <br />/ T ✓1%irll� �C. /�d� <br />=HD 23-02 Rev 04/19/12 Page 3 UST INSPECTION REPOR <br />