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05/05/2006 14:15 2094683433 EHD • PAGE 02 <br /> SAN JOAQUIN COUNTY <br /> NVO1RONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3t4 Floor,Ston,CA 95202.2708 <br /> Stockton, <br /> Telephone:(209)468-3420 Fac:(209)466-3433 Web:www.s go—v.orglehd <br /> UNDERGROUND STORAGE TANK(UST)PROGRAM INSPECTION REPORT <br /> Facility name: Designated upemler: Inspection Date: <br /> wa^ � <br /> Fzdt(/evtddreas: S <br /> �.Aw <br /> Y.` Product �� <br /> Fac'ity Conran: Title: Phone: - <br /> T-9 [To <br /> monitoring Panel: Piping System: Orer60 prevention: <br /> T(,S 1 D wined 0 Suctim 0 cravi ❑Mr C31 0 Audibldvuwl <br /> lnsptedon type: Yfolatloor. <br /> lra.uie hAmitoring Certification 11 Instillation ❑Other: ❑MI•R(ktcet DM2-RPrev 11 -3 Both <br /> VIOLATION(S)HSC-Califomia Health&Safety Code;CCR=Califomis Code of Regulations V R <br /> p Cade Section V=Violation:RV=Re eat Violation V <br /> l HSC 25284 permit to Operate - <br /> :(MR 2637 - - .: ' Secondary Comainment test Perforned .` .. <br /> 3 CCR 2711 & c Current Unified Pro Consolidated Foetus on file wnh EHD aeili and tank form <br /> 5 !CCR 2632 c Z D Motificali &r sma ini an onubili and CFO letter: <br /> - - <br /> current and filed with the local a <br /> b::: CCR-27912 t) Monitoring&tn se:plan iscrinate': <br /> ,7 CCR 2712 Maintenance&monitoring records 1 <br /> '8 ::CCR 2643 ':Dail .tnonitorin ofsubtion-piping(pre-]an ;1:3984 <br /> 9 HSC 25292.1 UST tem iso to revert unwthorized release <br /> "10 LYR 2b32(c)(4. UST monitoring system is <br /> 1 <br /> 11 CCR 2630 d UST em tnoni[ornl ui nt is 1 located to detect a leak 1 <br /> �rY2• �HSC2529!(b ::.;.". USTs-stemmonitoiiu_..equipment" ':ii.operational.:: <br /> 13 CCR 2636 1 Continuous monitoring!ystem for underground piping&UDC is Present t <br /> !4F WR-2631' s . containment is: uct.ti t <br /> 15 1 HSC 25291(a)(2) Secondary containment for UST is tight - <br /> '.:16 CC1t,2635 e 1 : -";All:re mws insecon : <br /> 17 HSC 25291 Line leak detect s are installed MI <br /> r18 CCR2635.(b Y}'..:' 'S ill container <br /> 19 CCR 2635 tr Z Overfill prevention system <br /> 20 :':CCR 26360) Conventional suction in shall continuous monitorin &2e wataimiienc <br /> .2I HSC 25291(e) Water in 2°containment analyzed& i di sed of <br /> 21P <br /> CCR2650 Reeorilin r man `,ofunautloiiied:zelasa i ' <br /> .23 CCR 2715 Dai ated :(a)Statemart Itom U57 owntt: c•e Mamhl ection. 10 <br /> '24 .:=1638 a Aimualmiormtocin ceitificanon ' ., <br /> 25 CCR 2638(a Annual line leak detector test <br /> 1i5C�5284.2 Annualilliontainoctmor slm <br /> 27 CCR 2636 4 Annual line ti htaess test <br /> . <br /> ,. . ... i <br /> n,..: <br /> 28 CCR2661 F R irYor rank/ has had n ; <br /> 29 CCR 2643 a Biennial ti hmess[eat of gravity Piping -lana 1.1984 <br /> i 30 CCR:2643 : _Triemiallinetes<for coaventroaalsiicfian pelitrig. <br /> 31 HSC 25292.5 Double walls stem located within 1000'of pubiit well ELD <br /> 732 -:::CCR2661 .Permit tomosir UST system <br /> 33 HSC 25286 a Pamolta monitoring systimi <br /> -34,,::.rHSC.25298(b) pff.mit totensporas clom:USTa. tem <br /> 35 HSC 25296 c Permit to close UST system <br /> 36 ``HSG25299:fa)(9) Disablin leak drdcctiondevices <br /> .. <br /> 37 HSC 25298 a Illegal abandonment of UST em <br /> 777777777777 <br /> 38_ Other. Vet <br /> .E SPECT R. PNOnE. �S '� <br /> p c systemsystem: <br /> 1 C Serves 220 Pe y <br /> 'RE ED BY: TITLE: t ❑Recti rthmsmitarywastc <br /> 1 <br /> zwelIs/French'Drains <br /> RHO 23-02.002 <br />