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DATE to W' o11' <br /> SAN JOAQUIN COUNTY PR# <br /> WIRONMENTAL HEALTH DEPART T PAGE \ oT x <br /> 304 E.Weber Ave..,Thi) O <br /> Floor, Stockton, CA 95202 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name <br /> µ�Q., . , �� Facility Address i5'J E• \\� <br /> Facilty Contact+ <br /> Title �a1�PGE(i Phone <br /> UST# 1a Product kms- UST# S Product Q J UST#hProduct \. UST#_Product <br /> Monitoring Panel: <br /> Overfill Prevention: AudibleNisJal 0 Mechanical violations: nor ❑ Major <br /> Piping System: El Gravity Pressure ❑Suction Yes dNo Dis enser Panes ❑ No <br /> Automatic Pum Shut own Satisfies CCR 2636 g <br /> INSPECTION TYPE: outine Monitoring Certification OComplaint ❑Install ORemoval ❑Repair/Upgrade <br /> COMPANY NAME: C7'R� �t( <br /> TECHNICIAN NAME: JEF -& PHONE: <br /> VIOLATION(S) <br /> The above facility is not in compliance <br /> with e following <br /> olio in gsec ns(CCR): & Safety Code (HSC) and/or <br /> Californiaorn a <br /> 1 HSC 25284 Permit to operate 20—CCR 2712 (b) Maintenance & monitoring <br /> records <br /> 2 CCR 2637 Secondary cont <br /> onth)testing (6 21_CCR 2636 (f)(4) Annual line tightness test <br /> month d6 <br /> 22_CCR 2630 (d) Annual line leak detector test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 23 CCR 2630 (d) Annual monitoring certification <br /> 4 HSC 25292.2 Certification of financial 24_CCR 2643 (d) Daily monitoring of suction <br /> responsibility and letter from piping that is not continuously <br /> chief financial officer monitored <br /> 5 CCR 2630 (d) Continuous monitoring system <br /> for UST system 25CCR2643 (d) Triennial tightness test <br /> suction piping that is not <br /> g CCR 2636 (c)(1) All releases in secondary piping continuously monitored <br /> flow to a collection sump <br /> 7 HSC 25291 (e) Water in secondary (20) cont 26—CCR 2643 (e) Biennial tightness test of gravity <br /> piping that is not continuously <br /> g HSC 25291 (f) Automatic line leak detector(s) monitored <br /> g CCR 2636 (f)(1) Continuous monitoring system rade requirements for UST <br /> for underground piping 27 CCR 2662 Up9 q— <br /> system <br /> 10 CCR 2632 (c)(2) Continuous monitoring system 28 CCR 2661 Permit to repair UST system <br /> for UST 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 US <br /> 13__-CCR 2635 (b)(1) Spill container system <br /> 14 CCR 2635 (b)(2) Overfill prevention systemHSC <br /> 15—CCR 2631 (a) Primary containment is product- 3332—HSC 252981 (e) Water tin 2l cont,analyzed and <br /> tight 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 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> unauthorized release <br /> 18�CCR 2632 (d) Monitoring & response plan 36Disabling leak detect. devices <br /> —H&SC 25299(a)(9) <br /> 19 CCR 2712 (i) Monitoring &response plan is <br /> 37 Violation(s) not listed above <br /> on site <br /> PHONE: \- - '�`LS <br /> EHDINSPECT <br /> RECEIVED B "E: It PHONE: b' <br /> UNITII W STMSP(rev 315/02) <br />