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SAN JOAQUIN COUNTY DATE <br /> �/ 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 s,M1.0 -fruuV- P14Z4 Facility Address /022 Fran. 4,A 2�I A <br /> Facility Contact 1)*)%a 9t4�SPNk6(&Title14�-_. Phone # <br /> UST# S ProductWt�" ( UST# 6 Product�_UST# 7Product �-7 UST#_Product <br /> Overfill Prevention: ❑Audible/Visual KMechanical Monitoring Pane[: V R TLS 3 SU (. <br /> Piping System: )�Gravity F Pressure ❑ Suction Violations: ❑ Minor ❑ Majo <br /> Automatic Pump Shut Down Satisfies CCR 2636 ❑ Yes ❑ No Dispenser Pan: XYes ❑ No <br /> INSPECTION TYPE: outine LIMonitoring Certification DComplaint ❑Install ❑Removal ❑Repair/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 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 line tightness test <br /> 3�f/-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 /> Continuous monitoring system monitored <br /> 5 CCR 2630 (d) 25 CCR 2636 (a) Conventional suction piping <br /> for UST system shall have continuous <br /> g CCR 2636 (c)(1) All releases in secondary piping monitoring &2° containment <br /> flow to a collection sump <br /> (2 ) cont 26_CCR 2643 (e) Biennial tightness test of gravity <br /> 7 Water in seconds HSC 25291 (e) secondary ° piping that is not continuously <br /> 8 HSC 25291 f) Automatic line leak detector(s) monitored <br /> g"'--CCP 2616 (f) 1) Continuous monitoring system 27 CCR 2662 Upgrade requirements for UST <br /> for underground piping system <br /> lo_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 tight30 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 system 32 HSC 25298 (c) Permit to close UST system <br /> 15_CCR 2631 (a) Primary containment is product- 33 HSC 25291 (e) Water in 2° 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 10 of Public Well, no ELD <br /> 17_CCR 2650 Recording/reporting 35 LCCR 2635(a)(2)(A)�{i hodic protection testing <br /> unauthorized release 36 H&SC 25299(a)(9 iJisabling leak detect. devices <br /> (� Monitoring & response plan 37 Violation(s)not listed above <br /> 18�CCR 2632 (d) Ian is <br /> 19 CCR 2712 (i) Monitoring & response p <br /> �.on site <br /> F � PHONE: <br /> qbq— <br /> EHDINSPECTOR: TITLE: <br /> RECEIVED BY: <br />