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• <br /> DATE A\ 'pAoA <br /> SAN JOAQUIN COUNTY PR# <br /> ENVIRONMENTAL HEALTH DEPARTMENT PAGE "-2L <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 Facility Address Aon v, > Y TTS iib& - <br /> �� � Title yu - <br /> Phoney�V` <br /> Facilty Contac tc � �` r <br /> UST#� Product "ac UST#�D Product ",,,\ UST# Product UST# Product. <br /> // Monitoring Panel: <br /> Overfill Prevention: ❑AudibleNisuuaI Mechanical /o Violations: ❑ nor ❑ Major <br /> Piping System: ❑ Gravity C[<3"Pressure ❑ Suction ❑Yes C�VNDispenser Pan: es ❑ No <br /> Automatic Pump Shut Down Satisfies CCR 2636 (g): <br /> INSPECTION TYPE: outine ' onitoring Certification ❑Complaint ❑Install ❑Removal F--,Repair/Upgrade <br /> COMPANY NAME:'S6�4N TECHNICIAN NAME: 6*=G�S- <br /> PHONE: �i.►�-��y <br /> VIOLATION(S) <br /> The above facility is not in compliance he following section(s) of <br /> Regulations (CCR): &Safety Code (HSC) and/or <br /> California <br /> Permit to operate 20 CR 2712 (b) Maintenance&monitoring <br /> 1 HSC 25284 <br /> records <br /> 2 CCR 2637 Secondary cont testing (6 21 CCR 2636 (f)(4) Annual line tightness test <br /> month/36 month) 22 CCR 2630 (d) Annual line leak detector test <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 23 CCR 2630 (d) Annual monitoring certification <br /> 4 HSC 25292.2 Certification of financial 24 CCR 2643 (d) Daily monitoring of suction <br /> responsibility and letter from piping that is not continuously <br /> chief financial officer monitored <br /> 5 CCR 2630 (d) Continuous monitoring system 25 CCR 2636 (a) Conventional suction piping <br /> for UST system shall have continuous <br /> 6-CCR 2636 (c)(1) All releases in secondary piping monitoring & 20 containment <br /> flow to a collection sump Biennial tightness test of gravid <br /> 7 HSC 25291 (e) Water in secondary (20) cont 26 CCR 2643 (e) 9 <br /> piping that is not continuously <br /> g HSC 25291 (f) Automatic line leak detector(s) monitored <br /> 9-CCR 2636 (f)(1) Continuous monitoring system 27 CCR 2662 Upgrade requirements for UST <br /> for underground piping system <br /> 10 CCR 2632 (c)(2) Continuous monitoring system <br /> for UST 28 CCR 2661 Permit to repair UST system <br /> 29 HSC 25286 (a) Permit to alter monitoring <br /> 11 HSC 25291(a)(2) Secondary containment for system <br /> UST is tight Illegal abandonment of UST <br /> 12 CCR 2636 (f)(1) Continuous monitoring system 30 HSC 25298 (a) 9 <br /> system <br /> for dispenser system 31 HSC 25298 (b) Permit to temporarily close USI <br /> 13 CCR 2635 (b)(1) Spill container system <br /> 14 CCR 2635 (b)(2) Overfill prevention system permit to close UST system <br /> 15 CCR 2631 (a) Primary containment is product- 32 HSC 25298 (c) Water in 20 cont analyzed and <br /> tight 33 HSC 25291 (e) <br /> properly disposed of <br /> 16 HSC 25292.1 UST system is operated to Single wall component within <br /> prevent unauthorized release 34 CCR 2640(e) 1000' of Public Well, no ELD <br /> 17 CCR 2650 Recording/reporting <br /> unauthorized release 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> unauthorized <br /> &response plan 36 H&SC 25299(a)(9)Disabling leak detect. devices <br /> 18 CCR 2632 (d) 9 Violation(s) not listed above <br /> 19 CCR 2712 (i) Monitoring & response plan is 37= <br /> on site rr`' <br /> EHD INSPECTOR: PHONE. <br /> TITLE: <br /> RECEIVED BY: <br />