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DATE SAN JOAQUIN COUNTY PR# OVIRONIVIENTAL HEALTH DEPARTIMIT PAGE e 2 304 E. Weber Ave., Third Floor, Stockton, CA 95202 (209)468-3420 UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Facility Name ®SVM 4M StiMA Facility Address 1330 6. yo som i 4irc, Facilty Contact KP V-1"J �O (— Title LNJ -tiK- Phone # UST# i Product UST# 2 Productfi� UST# '? Product nth UST# Product r� Overfill Prevention: ❑ AudibleNisualMechanical Monitoring Panel: Piping System: 0 Gravity N'ressure ❑ Suction Violations: Minor ❑ Major Automatic Pump Shut Down Satisfies CCR 2636 (g): ❑ Yes ❑ No Dispenser Pan: Ves ❑ No INSPECTION TYPE: poutine ❑Monitoring Certification ❑Complaint ❑Install []Removal ❑Repair/Upgrade COMPANY NAME: ® TECHNICIAN NAME: PHONE: VIOLATION(S) The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or California Code of Regulations (CCR): 1 HSC 25284 Permit to operate 20 CCR 2712 (b) Maintenance & monitoring 2 CCR 2637 Secondary cont testing (6 records month/36 month) 21jCCR 2636 (f)(4) Annual line tightness test 3 V/ CCR 2711(b) & (c) Current State Forms A & B 22 CCR 2630 (d) Annual line leak detector t( 4—V'–HSC 25292.2 Certification of financial 23�CCR 2630 (d) Annual monitoring certifice� responsibility and letter from 24 CCR 2643 (d) Daily monitoring of,suctior chief financial officer piping that is not continuo 5 CCR 2630 (d) - Continuous monitoring system monitored for UST system 25 CCR 2636 (a) Conventional suction pipir 6 CCR 2636 (c)(1) All releases in secondary piping shall have continuous flow to a collection sump monitoring & 20 containmE 7 HSC 25291 (e) Water in secondary (2°) cont 26 CCR 2643 (e) Biennial tightness test of c. 8 HSC 25291 (f) Automatic line leak detector(s) piping that is not continuo 9 CCR 2636 (f)(1) Continuous monitoring system monitored for underground piping 27 CCR 2662 Upgrade requirements for 10 CCR 2632 (c)(2) Continuous monitoring system system for UST 28 CCR 2661 Permit to repair UST systE 11 HSC 25291(a)(2) Secondary containment for 29 HSC 25286 (a) Permit to alter monitoring UST is tight system 12 CCR 2636 (f)(1) Continuous monitoring system 30 HSC 25298 (a) Illegal abandonment of U: for dispenser system system 13 CCR 2635 (b)(1) Spill container 31 HSC 25298 (b) Permit to temporarily clost 14 CCR 2635 (b)(2) Overfill prevention system system 15 CCR 2631 (a) Primary containment is product- 32 HSC 25298 (c) Permit to close UST syste tight 33 HSC 25291 (e) Water in 20 cont analyzea 16 HSC 25292.1 UST system is operated to properly disposed of prevent unauthorized release 34 CCR 2640 (e) Single wall component wii 17 CCR 2650 Recording/reporting 1000' of Public Well, no E / unauthorized release 35 CCR 2635(a)(2)(A) Cathodic protection testin 18 V CCR 2632 (d) Monitoring & response plan 36L H&SC 25299(a)(9)Disabling leak detect. dev 19 CCR 2712,R,) Monitoring & response plan is 37 Violation(s) not listed abo on site 11 EHD INSPECTOR: Vdfl F(Uo" PHONE: D J 1 RECEIVED BY: TITLE: I iwnnrUSTANSP (rev 7/24/62)