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09/@812003 08: 29 2094683433 FIFTH FLOOR PAGE 02 <br /> • ` ?icy DATE ��d3 <br /> _ SAN JOAQUIN COUNTY � PR# <br /> R C�%LO <br /> ENVIRONMENTAL HEALTH DEPARTNfENT PAGE o <br /> SEP 304 E.Weber Ave.,Third Floor, Stockton, CA 96202 <br /> (209)468-3420 <br /> $x: GROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Name U��t91t -7(> Facility Address <br /> Pacilty Contact Were �i t`1 Title 1 n �� Phone# 7476--) <br /> UST# L Product& U-UST#-5--ProductA'M ULUST#_Product______UST# Product <br /> Overfill Prevention: ❑AudibleNisual ❑ Mechanical Monitoring Panel: l� SLS 350 <br /> Piping System: ❑ Gravity El Pressure ❑Suction <br /> Violations: Minor ❑ Major <br /> Automatic Pump Shut Down Satisfies CCR 2636 : ❑Yes ❑ No pis enser Pan: !Yes ❑ No <br /> INSPECTION TYPE: ZR <br /> outiine OMonitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br /> AJ <br /> COMPANY NAME: C TECHNICIAN NAME: N A PHONE: <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 CCR 2712(b) Maintenance &monitoring <br /> 2 CCR 2637 Secondary cont testing (5 records <br /> month/36 month) 21 CCR 2636(f)(4) Annual line tightness test <br /> 3 CCR 2711(b)&(c) Current State Forms A& S 22 CCR 2630(d) Annual line leak detector test <br /> 4 HSC 25292.2 Certification of financial 23 CCR 2630 (d) Annual monitoring certificatio; <br /> responsibility and letter from 24 CCR 2643 (d) Daily monitoring of suction <br /> chief financial officer piping that is not continuousl) <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 &21' containment <br /> 7 HSC 25291 (e) Water in secondary(20)cont 26 CCR 2643 (e) Biennial tightness test of gral <br /> 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuousl, <br /> 9 CCR 2636 (f)(1) Continuous monitoring system monitored <br /> for underground piping 27 CCR 2662 Upgrade requirements for U; <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 <br /> 12 CCR 2636 (f)(1) Continuous monitoring system 30 HSC 25298 (a) Illegal abandonment of UST <br /> for dispenser system system" <br /> 13 CCR 2635 (b)(1) Spill container 31 HSC 25298 (b) Permit to temporarily close l <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 ar <br /> 16 HSC 25292.1 UST system is operated to properly disposed of <br /> prevent unauthorized release 34 CCR 2640(e) Single wall component withii <br /> 17 CCR 2650 Recording/reporting 1000' of Public Well,no ELI <br /> unauthorized release 35 CCR 2635(a)(2)(A)Cathodic protection testing <br /> is /CCR 2632 (d) Monitoring &response plan 36 H&SC 25299(a)(9)Disabling leak detect.devic( <br /> 19CR 2712 (i) Monitoring& response plan is 37 Violation(s)not listed above <br /> on site <br /> EHQ INSPECTOR: v ��� PHONE: � <br /> RECEIVED BY: TITLE: <br />