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DATE <br /> SAN JOAQUIN COUNTY PR# <br /> w:NVIRONMENTAL HEALTH DEPAf,.,,4ENT PAGE i y <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Namej�'t'O1PL1 t'fl Facility Address 2132 MQYiPUS,0 . 0 • StZJCtwX <br /> Facilty Contact �;v i L Title 540 Phone#����,,7,aa,4,K,�C • lora <br /> UST# 5 Produc UST# (p Product ST#Product &:`^"UST#�Product'A'(0 <br /> Overfill Prevention: D AudibleNis�al OW-echanical Monitoring Panel: I LS',350 <br /> Piping System: D Gravity e'Pressure D Suction Violations: inor D Major <br /> Automatic Pump Shut Down Satisfies CCR 2636 les D No Dispenser Pan: fps O No <br /> INSPECTION TYPE: hZ tine 9donitoring Certification OComplaint Dlnstall DRemoval ❑Repair/Upgrade <br /> COMPANY NAME: kob TECHNICIAN NAME: Tom- PHONE: 1.y <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(0(4) Annual line tightness test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 22_CCR 2630 (d) Annual line leak detector test <br /> 4—THSC 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 25CCR 2636 (a) Conventional suction piping <br /> 6 CCR 2636 (c)(1) All releases in secondary piping shall have continuous <br /> flow to a collection sump monitoring &20 containment <br /> 7 HSC 25291 (e) Water in secondary(20)cont 26 CCR 2643 (e) Biennial tightness test of gravit} <br /> 8HSC 25291 (f) Automatic line leak detector(s) piping that is not continuously <br /> 9 CCR 2636 (f)(1) Continuous monitoring system monitored <br /> for underground piping 27 CCR 2662 Upgrade requirements for UST <br /> 10 CCR 2632 (c)(2) Continuous monitoring systemsystem <br /> for UST 28 ✓_CCR 2661 Permit to repair UST system <br /> 11 HSC 25291(a)(2) Secondary containment for 29—HSC 25286(a) Permit to alter monitoring <br /> UST is tight system <br /> 12 CCR 2636 (f)(1) Continuous monitoring system 30_HSC 25298 (a) Illegal abandonment of UST <br /> for dispenser system system <br /> 13 CCR 2635(b)(1) Spill container 31 HSC 25298(b) Permit to temporarily close US- <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 /> prevent unauthorized release 34—CCR 2640(e) Single wall component within <br /> 17 CCR 2650 Recording/reporting 1000'of Public Well, no ELD <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: PHONE: C3 g <br /> RECEIVED BY: S TITLE: <br /> UNMI W STIINSP(rev M4/02) <br />