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COMPLIANCE INFO 1985 - 2004
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO 1985 - 2004
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Last modified
11/20/2023 11:49:43 AM
Creation date
8/26/2019 9:14:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985 - 2004
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY DATE <br /> c:NVIRONMENTAL HEALTH DEPAR--'ENT PR# <br /> PAGE_T__ <br /> 1 E. Weber Ave.,Third Floor, Stockton, 5202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name Facility Address_ <br /> Facilty Contact &R Nor bu Title Phone # <br /> UST# Product 97 UST# ?-Product `1l UST#_Product UST# Product <br /> Overfill Prevention: ❑AudibleNisual ErVI-echanical Monitoring Panel: 3J-,,i hr_j'4 <br /> Piping System: ❑ Gravity fissure ❑ Suction Violations: ❑ Minor ❑ Major' <br /> Automatic Pump Shut Down Satisf'es CCR 2636 g): O-Y-e_s❑ No Dispenser Pan: 9-YL-s ❑ No <br /> INSPECTION TYPE: gKoutine onitoring Certification ❑Complaint ❑install ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME: Sta r TECHNICIAN NAME: l0 n waod PHONE: v a -ZYys <br /> sySAM.$ VIOLATION(S) <br /> The above facility is not in compliance with the follo,,ving 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 HSC 25292.2 Certification of financial 23 CCR 2630 (d) Annual monitoring certirication <br /> responsibility and letter from 24 CCR 2643 (d) Daily monitoring of suction <br /> chief financial officer piping that is not contirnuous!y <br /> 5 CCR 2630 (d) Continuous monitoring system monitored <br /> for UST system 25 CCR 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 & 2' containment <br /> 7 HSC 25291 (e) Water in secondary(2') cont 26 CCR 26,113 (e) Biennial tightness test of g;avit <br /> 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuous!y <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 system system <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 o°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 2' 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: <br /> RECEIVED BY: - TITLE: <br /> V tod <br /> urvmiwsrnnsa(rev V2402) � Q�\ <br />
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