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DATE 6 -2/-OZ <br /> SAN JOAQUIN COUNTY PR# <br /> OVIRONMENTAL HEALTH DEPARTAT PAGE s �- <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> FacilityName7 clttwt #32 j'70 acility Address "1 �'-(3 S dwy <br /> Facilty Contact erk4-P &u:Z&4Aj Title Phone # <br /> UST#- Product UST#_Product UST#_Product UST#_Product <br /> Overfill Prevention: D AudibleNisual D Mechanical Monitoring Panel: 7 L S ^ ;?5o p�S <br /> Piping System: D Gravity D Pressure D Suction Violations: )rMinor D Major <br /> Automatic Pump Shut Down Satisfies CCR 2636 : D Yes D No Dispenser Pan: D Yes D No <br /> INSPECTION TYPE: outine DMonitoring Certification DComplaint Dlnstall DRemoval DRepair/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 v 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 2643 (d) Triennial tightness test of <br /> 6 CCR 2636 (c)(1) All releases in secondary piping suction piping that is not <br /> flow to a collection sump continuously monitored <br /> 7 HSC 25291 (e) Water in secondary(20)cont 26 CCR 2643 (e) Biennial tightness test of gravity <br /> 8 HSC 25291 (f) Automatic line leak detectorpiping that is not continuouslys) monitored <br /> 9 CCR 2636 (f)(1) Continuous monitoring system requirements for UST <br /> for underground piping 27 CCR 2662 Upgradere q <br /> 10 CCR 2632 (c)(2) Continuous monitoring system system <br /> for UST 28 CCR 2661 Permit to repair UST system <br /> 11 HSC 25291(a)(2) Secondary containment for 2911��1 of (a) Permit to alter monitoring <br /> UST is tight <br /> 12 CCR 2636 (f)(1) Continuous monitoring system 30 HSC 25298 (a) Illegal abandonmesystem nt of UST <br /> for dispenser system system <br /> 13 CCR 2635(b)(1) Spill container 31 HSC 25298 (b) Permit to temporarily close USI <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 20 cont analyzed and <br /> 16_HSC 25292.1 UST system is operated to properly disposed of <br /> within <br /> prevent unauthorized release 34 CCR 2640 (e) SOOOeof Public Well,inglwall t ELD <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: V9�t Flc.�- PHONE: '(,b (�r <br /> RECEIVED BY: � LE: Wlei-✓' PHONE: — © 7ci <br /> UNITII WST/INSP(rev 33102) <br />