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• SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www sioov oralehd/unitiii.htMi <br /> UNDERGROUND STORAGE TANK(UST)PROGRAM INSPECTION REPORT <br /> Mme Valley Pacific Hwy 99 Cardlock Add': 3550 S. Hwy 99, Stockton 'Datte�° Mar 21, 2012 <br /> Facility Tltie: Cardlock Manager P4 ) 948-9412 <br /> Contact Mike Eliason <br /> Inspection XRoutine ffiMonfionng System Cenifrcation iInstallation ❑Complains-11W UOther <br /> Type: <br /> (Authority HSC 25289) James Abbott Title: <br /> Cardlock Technician <br /> Consentfor ffiInspectiac ffiSamp`ng ffiPlrotos Granted by: <br /> Monitoring Veeder-Root TLS-350 gwnm XPressunzed ❑Suction ❑Gravity o�0 ffiMechancal ❑AudibeNsual <br /> Parcel: yste : Prevention: <br /> UST 1 2 - - - - ----- <br /> Product <br /> - -------- - ----------- ------------- <br /> ----------- -- — - - - - - — <br /> P ._" "_87octane-_ _"_-_DSL _ -_ _- _ <br /> Designated1OC 3/22/13 Vwlabons: tl M1-Release Detection ❑M2-Release Prevention i i M3-Both <br /> Operator Mike Eliason Date: <br /> Un Site Service Michael Lawrence 'pa;Exp 5/5/13 "T',�� re`s VR x. 12/9/13 VMI x. 4/22/12 <br /> Technician: <br /> ffinq !rT <br /> TIONS <br /> lifornia Health and Cotle'CCR=Caf3omia Cade of R ulationsC1 C2 M Code Section =Class 7 violation:C2=Class 2 vidation:M=Mina vidalion Review101 HSC 25284 No permit to102 HSC 25404.5 Annual opeaid103 FISC 252t4(a)(3) Nowritteen the person that the operating pemsl was issued to and the tank operator tomonitor the <br /> 104 HSC 252922 Current financial responsibility documents not on file with the Environmental Health Department(.EHD) <br /> I 105 CCR 2711 _ Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form) <br /> iufi C1R 2b32(b) Monitoring Program(Monnonng 6 Response mans)is not current or approved d3,cite tHu <br /> �_ifii + � �in.n LWL(Uf(IAVI �rw pre: Brie i wp rrw arra nueu w ra:rn w wiuprewtiy erww m:e a muiuiu[nnJ rs 4re rurfnw," _... ,,,,„_ <br /> i0A I I I (CCR 2637 not kg conduct,•nc`.n. <br /> Monitoring equipfacnt wrtifiwtion rat rot performed annually.(d)test report net suhmilted within 30 da. f <br /> .illy j CCK 2638 I(e{kesr nonncanon nor provide t to me Emu at feast 4a hours Pnor m conducting an instariadon repair, j <br /> F + ---- <br /> HSC 25291M t teak dete-tor testn tDert n"r _"..._- <br /> t <br /> M1M11 t "_I f IuSC�rpsu�� (41. c r -.. rte'bl rC 'fnr. „3 - - <br /> t. i12CCR2R1W-14) `A�n,,;N r i�hn+o:s tost'+nt nC;Fn'ntf�fwOciWf churdown orfail fcnotpmcnr _ _ rs''!I <br /> - - " I CCR 2715(a)_ I Failed to Inform the EHD of a change of dB tgnated operator within 10 days <br /> 113 I .t-' �— <br /> I- I I CCR 2715(6) Designated operator does not <br /> possess a current ICC CA UST System Operator certification i <br /> 1 114 - - <br /> I(;CR 25f.^.rk; I nepaa Iw cera w pgpu sJ nui iesieu wl ug'luwas after wmpleilon m tiro rapmr pursuaui(u IMLII <br /> 115 I I -p r' ..g <br /> Fnt3nue^c:esk dote a�n =_n?to fn;,,ink�s I WO en a syster:3^cat�d w,0vn 100G'or public.:ve11,gr , <br /> j 1 I i I i ""` Ifailurea tint raaired and relented I <br /> n r 1 l t,t.R voi i Penna to repair uS I system rwr ootamed 1 <br /> I I pe.fgrmance claims pertain nn to release detection systems for R Years.or records Of reoalrs linings.and I <br /> CCR?71 T(h) lupgrduns cur rrre He m me tank Mmmuung lewms muuue k U uare anti utile w an nwnnumrg ur sampnrlg; i <br /> 201 I i).n�i f Tin ruin of.a Mrf nor x5 r: -��rar npler. 'i t -.fg r 'yls�a-niwrvahr nc'f4) <br /> I -'tilt`of sample anal vs parf.!*�+W a lah cr? th fwkl x51 in,%of IIreadings of gP.;ac... nther monitcdng <br /> I equipment.ground water elevations,or other test results;(6)results of inventory readings and reconciliations <br /> 27i2(1) mbn iormg plan,response pian,arcmor operating permit and ao commons not onsite ^ <br /> Cal <br /> oum <br /> i 203 I I Iiri 265E Itiai f�Gk`-'u:C'ed;'a',e-',C.,-Odd`cL3^6a <br /> '. . rW r:ryammon.snot hearted ill 3 er eight.hours,IOr as-Ld :tossofrl <br /> was not reported to the EHD within 24 hours_- ---- <br /> Inspector R BY TPoe: /n� rr ff <br /> i Stacy Rivera (209) 468-3440 <br /> yip 23,02 Rev 09/01/11 Panel UST INSPC-CTI REPORT <br />