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, <br /> AN`3OA, UlN-OUNTY,, <br /> r EN:VIkdNINB)J'PAC;�.HEA.LTti'DEPARtMMNT <br /> 600:1:a'gt Iv xi Street;Stockton;Calif6r*95202-3029 <br /> Telephoner,(269),468'-3420Atr:`(209)`+681433W�b.-`www.Meov.or'Weh ;. `.. <br /> UNbERGROUNDSTORAC.E'TANK. V ,T).PR.OGR M1I49PECTIONREPOYtX <br /> .kadlfty flame: .. Deslgat t Opentor: .Cnspectian Date:. : <br /> log <br /> Facility r <br /> wr <br /> addUST it <br /> y. <br /> f97 �i�1L";StFA1 �:lli�✓I. :.,,'.. a-M/J . . •Product " •g h/ " �F <br /> . ._ -Fadliry CohtacC::•..':'.............,.. ...,-.. Tid :'-.._._ ._-_._..Phone: ....- .�_. ... <br /> McmtonnQ P.enel 'Plplag system. .OverOd Prevention: L <br /> G ?'S t. 7 Sb, Cfl�ressur;ze3 o Suehnn o than*. 0MechanfW <br /> Inspwtrno type: <br /> 'Rin. <br /> an 'k4'Moni rverLtYiFadon 0.Ins[allawon. ❑Oder. :O M.1-Ro�` "O M2'9Prer ` O M48oxh <br /> #' Code Section.:�TOLATTUN,(S) HSG=California Hoa)t�i;&Safety Gode;CCR�Cafifomie Code of Regulations ' <br /> 'V=Viglation..RV=B Violation 'V' <br /> I'.. HSC 252$4.n tn!•. SPeSmit-to'vo te: .,_ i . <br /> CCR2637, tJ:', ".Secbnd gene nmeat;test. d OtinCd ", a ., : - fi. <br /> 3 ..CCR-2711 )&.Cc)'; Clirreat Unified Proram.Co4olidaftd:Forms on file with EHD atilt 'and.tank foim' :,". ,.."wn .j <br /> 4` :- tHSC25292.2' tCettification;of.finai:efelres on5ibrli".and CFOletlec <br /> ;5 ' CCR.2632 b)' Vonitorin Pr' Mbnitoriti'.& onsc.Plan :is.cutren[and a vedbythef <br /> 6 :'CCR 2712(t) �� :.... Mpnitbrin Ian aS.ongrtF.k' <br /> 7- -'CCR'2712 b Maintenance&monitorin 'records M3 ... <br /> •S CCR2643 d .047 monitorin 0f sudien <br /> -9 '. ,.HSC 25292:1 :UST s crn is <br /> steel to, rovenCtinatithoriud rdcasc..,. .. .. .. .._. ... - :.'. <br /> '10.. CCR`263'2UST:monitorin s tcm'is. resent.; <br /> -1•` .CCR 2630 d - UST system.mortitoring equipmentro 1loca'eto dett a lak ,. <br /> 12. HSC25294 bUST s em monitoringequipment rso ratiohal'' <br /> .'.•(M3):, <br /> -'13. '.CCR 2636 1 Continuousmonitoph s stem,foi undergypund gipfrig&UDC is.0resent' <br /> 1,4 7C-1Z2631 (a), :Pnm con tainment,rs roduct.h' x <br /> 15 HSC.25291 a Seconda .'contiinmettt for UST is tight <br /> 16" GCR.2636: a 1''... All releases in swonclatypipikf1ouilo..6 collection sunt u. <br /> 17.: ..HS025291, :I-fne leak detectors :are installed A '.Ml <br /> 2635(b)(1) :1 $Rillcontameri: .(M2) <br /> 19 ACCR 2635 6 :,Ovechll;' rcvehtion s tem.. <br /> 20 -'CCR 26$6(a) Conventional stiction"r to shad-h'av6''continaoasmo droit '&29 r mtafnmant , <br /> 21• ' HSC,25291'.(e): Water in g°'eontaimncnt anslyzed&properly disposed of <br /> 22 CCR 2650 Recordin'r cirtingof uttauthonUed releases. L <br /> 23.:: .CCR 27.15 ,, Desi- ated giitoc:'.(,)'Statement from UST own , (6,e)Montl'l ins ecdpn;: Em p(b umittirig <br /> 24.... ..CCRW. d Annual monitorin certification <br /> .25 .:,, ,CCR 2638 Annual fine leak'detector test . . 1 <br /> 26' :HSC 252$4.2' Annualspill'confainmenttestfn <br /> 27 CCR 2636(f)(0-`- Annual line ti htnessaesT <br /> `28' r :CCR 2661 Re airfbrtan 'i in' hashad,ti htnesstest M2 <br /> 29 CCR 2643 a Biennial tightness test of vie i in rJanu 1.19$4 <br /> 30 'CCR2643' d : Triennial-linciestfgrconventibnalsue(ton ring( Janna' 1,.1984) Ml <br /> 31. HSC 25292.5 Double walls stem lLcatod within 1000'of, ublic'*e11.ELD <br /> 32' CCR266F. <br /> Permit to repair UST system <br /> 33 HSC 25286.a Permit to alter monitorin -s'stem ' <br /> 34 ,HS.0 2529$(b): '..: _Fermit to,tern rarily,close UST system.'.. . . . ..' <br /> 35 HSC 25298. c) Permifto oluse UST 9 tem i <br /> 36 HSC 25299(8x9). Disablin leak detection devices <br /> 37 HSC 25298 a) 'ill abandonmenCof UST s'stem (' <br /> .:. ..38. . Other_. - ' . :.. . .. . :: '. . ' . . <br /> PHO INSPECTOR:'. PHONE: <br /> 468'— 3u-3'1 ' 3eotiesr e <br /> .Saves?26 peopldday • <br /> RECEI' <br /> ` r I-^� + TITLE: ' . `.:Receives06Wii ..sanitm"ite <br /> obsa ' <br /> Other disi ntet¢,o& <br /> rub. i-... <br /> A'2 " WA I' ` �Dry wells/Fieuch Draies. L . <br /> 700 'a R( MPgRRA7•i '0H XV.A HM SS,4'f xnA f nnA WV if :ni gu/Rfln/Ruffg.d <br />