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DATE q-Zq`6 Z- <br /> SAN JOAQUIN COUNTY PR# <br /> ENVIRONMENTAL HEALTH DEPARTMENT PAGE 1 v I- <br /> 304 <br /> 304 E.Weber Ave., Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name POI AC, We, Shill Facility Address (D 13 l PUAfl L h)(el. /aL (A <br /> Facilty Contact&U -Trw Title OV1hV1pK _Phone# � q 5Z. o V 2 <br /> UST# + %j <br /> Product�(,t1 _ UST# _Product _UST#Product Yom( _UST# Product <br /> Overfill Prevention:) ❑AudibleNisual 6(Mechanical Monitoring Panel:SJ y4v ir <br /> AU <br /> Piping System: ❑Gravity 9,Pressure ❑Suction Violations: gMinor ❑Mai <br /> Automatic Pump Shut Down Satisfies CCR 2636 : ❑Yes Ao Dispenser Pan: ❑Yes ®'No$yo ft <br /> INSPECTION TYPE: 90outine onitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME• Y •C II�OYI TECHNICIAN NAME: �Uvlr'1 PHONE: 4$•ee-t3l •-It <br /> NsifA* 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 ✓ 22 CCR 2630d CCR 2711(b) & (c) Current State Forms A& B ( ) Annual line leak detector test <br /> ( ) <br /> 4— HSC 25292.2 Certification of financial 23 d 2630 CCR 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 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 /> 8 HSC 25291 (f) Automatic line leak detectorpiping that is not continuouslys) monitored <br /> 9 CCR 2636 (f)(1) Continuous monitoring system <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) IIlllegaall abandonment of UST <br /> for dispenser system <br /> 13 CCR 2635 (b)(1) Spill container 31 HSC 25298 (b) Permit to temporarily cystem lose 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 1// 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 p� <br /> EHD INSPECTOR: PHONE: j4(b <br /> RECEIVED BY: �G�/ TITLE: (� <br /> UN(THINSTANSP(rev 724/02) <br />