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Y DATE -71 ZZ163 <br /> SAN JOAQUIN COUNTY PR# <br /> ENVIRONMENTAL HEALTH DEPARTMENT PAGE <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 ��ro►c�^' w <br /> Facility Address y I I S, /14,44J A14N Ie(4 <br /> Facilty Contact s AA&N!At_Title 1%AAAek-- Phone # 2:3!!5-- -7-17 <br /> UST# I Product PS/ UST# Z Product ret*A UST#Product Df lj<4 UST# Product <br /> Overfill Prevention: ❑Au✓✓dible/Visual XMechanical Monitoring Panel: VP– <br /> Piping <br /> P–Piping System: ❑ Gravity Pressure ❑ Suction Violations: (Minor ❑ Major <br /> Automatic Pump Shut Down Satisfies CCR 2636 ❑ Yes CNo Dispenser Pan: Yes ❑ No ,A.4,tA— <br /> INSPECTION TYPE: Routine Wonitoring Certification []Complaint ❑Install ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME: P AAAA O f V1 TECHNICIAN NAME: Q UIA PHONE: 55914ff- Z'1'7? <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 v 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 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 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 /> 6CCR 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 detector(s) piping that is not continuously <br /> a rr.R a14F (fug r;ontinuous monitoring system monitored <br /> )r underground piping 27 CCR 2662 Upgrade requirements for UST <br /> ontinuous monitoring system system <br /> )r UST 28__�/_CCR 2661 Permit to repair UST system <br /> econdary containment for 29 HSC 25286 (a) Permit to alter monitoring <br /> ST is tight system <br /> ontinuous monitoring system 30 HSC 25298 (a) Illegal abandonment of UST <br /> Ir dispenser system system <br /> pill container 31 HSC 25298 (b) Permit to temporarily close US- <br /> iverfill prevention system system <br /> rimary containment is product- 32 HSC 25298 (c) Permit to close UST system <br /> ]ht 33 HSC 25291 (e) Water in 20 cont analyzed and <br /> ST system is operated to properly disposed of <br /> -event unauthorized release 34 CCR 2640 (e) Single wall component within <br /> ecording/reporting 1 000' of Public Well, no ELD <br /> iauthorized release 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> onitoring & response plan 36 H&SC 25299(a)(9)Disabling leak detect. devices <br /> onitoring &response plan is 37—� Violation(s) not listed above <br /> i site <br /> 7� PHONE: qbV`" 73L/ 9- <br /> TITLE: <br /> 3yTITLE: <br /> UNITIIUUSTANSP(rev 724102) <br />