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Facility Name <br />SAN .10AQUIN COUNTY pR# <br />DATE /% /�cr3 <br />NVIRONMENTAL HEALTH DEPA ENT PAGE <br />*04 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Address 3 00 W <br />Facilty Contact da&o-T► / /td-yyi of Title tflyi o,,4W Phone#6-3d Sgg,o` of .1c1 3v <br />ws�o� <br />UST# _L_ Product [A,,Jt�dtAJST#Product T3 ?1`0 UST#Product ') y 4be4UST# ProducE 7: <br />Overfill Prevention: ❑ AudibleNisual Wechanical Monitoring Panel: 15,4f <br />Piping System: ❑ Gravity ❑ Pressure ❑ Suction Violations: I'Minor D Major <br />Automatic Pump Shut Down Satisfies CCR 2636 (gam ❑ Yes��lo Dispenser Pan: WYes ❑ No <br />INSPECTION TYPE: <br />COMPANY NAME: <br />ne C}16fonitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />TECHNICIAN NAME: <br />VIOLATION(S) <br />PHONE: C/67 <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 CR): <br />1 HSC 25284 Permit to operate 1 20 CCR 2712 (b)aintenance & monitorin <br />2 CCR 2637 <br />3 CCR 2711(b) & (c <br />4_'V—HSC 25292.2 <br />5 CCR 2630 (d) <br />6 CCR 2636 (c)(1) <br />7 HSC 25291 (e) <br />8 HSC 25291 (f) <br />9 CCR 2636 (f)(1) <br />10 CCR 2632 (c)(2) <br />11 <br />HSC 25291(a)(2) <br />12 <br />CCR 2636 (f)(1) <br />13 <br />CCR 2635 (b)(1) <br />14 <br />CCR 2635 (b)(2) <br />15 <br />CCR 2631 (a) <br />16 <br />HSC 25292.1 <br />17 CCR 2650 <br />11 I� <br />18 CR 2632 (d) <br />1 CR 2712 (i) <br />0 <br />EHD INSPECTOR: <br />UNMIWST/INSP (rev 7/24/02) <br />Secondary cont testing (6 <br />month/36 month) <br />Current State Forms A & B <br />Certification of financial <br />responsibility and letter from <br />chief financial officer <br />Continuous monitoring system <br />for UST system <br />All releases in secondary piping <br />flow to a collection sump <br />Water in secondary (20) cont <br />Automatic line leak detector(s) <br />Continuous monitoring system <br />for underground piping <br />Continuous monitoring system <br />for UST <br />Secondary containment for <br />UST is tight <br />Continuous monitoring system <br />for dispenser system <br />Spill container <br />Overfill prevention system <br />Primary containment is product - <br />tight <br />UST system is operated to <br />prevent unauthorized release <br />Recording/reporting <br />unauthQaied release <br />Cl�lonitpd6cO& response plan <br />nng response plan is <br />e <br />PHONE: <br />records <br />21 <br />CCR 2636 (0(4) <br />Annual line tightness test <br />22 <br />CCR 2630 (d) <br />Annual line leak detector test <br />23 <br />CCR 2630 (d) <br />Annual monitoring certification <br />24 <br />CCR 2643 (d) <br />Daily monitoring of suction <br />piping that is not continuously <br />monitored <br />25 <br />CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gravit,, <br />piping that is not continuously <br />monitored <br />27 <br />CCR 2662 <br />Upgrade requirements for UST <br />system <br />28 <br />CCR 2661 <br />Permit to repair UST system <br />29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />31 <br />HSC 25298 (b) <br />Permit to temporarily close US - <br />system <br />32 <br />HSC 25298 (c) <br />Permit to close UST system <br />33 <br />HSC 25291 (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />34 <br />CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />35 <br />CCR 2635(a)(2)(A) Cathodic protection testing <br />36 <br />H&SC 25299(a)(9) Disabling leak detect. devices <br />37 <br />Violation(s) not listed above <br />PHONE: <br />