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DATE <br /> SAN JOAQUIN COUNTY 0 PR# <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 Name If ice ` Facility Address„ 1 c,DY'DYll�l&6 t DC,k- <br /> l S Title 'Fl[� tA+ CA <br /> tv�SDphone# �/ . �3� ri�DL� <br /> �acilty Contact h, <br /> ST# Product v►� UST# I- Product D UST#Product UST#yy Product <br /> Overfill Prevention: 11AudibleNis�I `Mechanical Monitoring Panel:�V.7 3�� <br /> Piping System: [IGravity Pressure ❑ Suction Violations: ESI inar ❑ Major <br /> Automatic Pum2 Shut Down Satisf' s CCR 2636 ❑Yes"o Dispenser Pan: ❑Yes Er No <br /> INSPECTION TYPE; JoRoutine EKAonitoring Certification ❑Complaint ❑Insttall ❑Removal ❑Repair/Upgrade <br /> ll__ V� N NAME: -A 1 ►`_�VJ� PHONE: 5 • �L��S� <br /> COMPANY NAME: �flt TECHNICIA <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 25284 Permit to operate 20 CCR 2712 (b) Maintenance & monitoring <br /> 2 CCR 2637 Secondary cont testing (6 records <br /> month/36 month) 21 CCR 2636 (f)(4) Annual fine tightness test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 22 CCR 2630 (d) Annual line leak detector test <br /> 4 HSC 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 /> g 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 HSC 25291 (f) Automatic line leak detectorpiping that is not continuouslys) monitored <br /> g _CCR 2636 (f)(1) Continuous monitoring system 27 CCR 2662 Upgrade requirements for USI <br /> for underground piping system <br /> 10 CCR 2632 (c)(2) Continuous monitoring system 28 CCR 2661 Permit to repair UST system <br /> for UST <br /> 11 HSC 25291(a)(2) Secondary containment for 29 HSC 25286 (a) sy mit to alter monitoring <br /> UST is tight <br /> tem <br /> 12 CCR 2636 (f)(1) Continuous monitoring system 30 HSC 25298 (a) Illegalabandonment of UST <br /> for dispenser system system <br /> 13 CCR 2635 (b)(1) Spill container 31 HSC 25298 (b) Permit to temporarily close U5 <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 2° cont analyzed and <br /> 16 HSC 25292.1 UST system is operated to properly disposed of <br /> prevent unauthorized release 34 CCR 2640 (e) Singleof Public Well n ELD <br /> wall component within <br /> 17 CCR 2650 Recording/reporting <br /> unauthorized release 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> 18 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: Uhu PHONE: G('b ' <br /> RECEIVED BY: L TITLE: FQ..�GI <br /> UNMINSTnWSP(rev 7/24102) <br />