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Oct 02 02 04:29p Yosemite Shell 209-825-4182 <br />AOL <br />PUBLIC HEALTH SERVICES SAN JOAOUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />p.3 <br />DATE tib <br />PR# <br />PAGE <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />ruclilly Name <br />Facility Address \'ae* <br />Facilty <br />UIST# I Prc>ductPhone <br />_ UST# QL Product —S Productt��-- <br />Overfill Prevention: AUdibleNisual— 80' UST# - UST#—Product. <br />M Monitoring Panel.- - <br />Violation$ �qjor�. <br />SUC iC <br />u� �.,tq I <br />Piping System: Gravity ressu Suction <br />AutOm8t[c Pump Shut Down sati Violations: MinorMajor <br />CR 2 36 ( s <br />0 9)* /'7_0 No Dispenser n. <br />INSPECTION 1UN I YPIE:oring Pah: <br />es No <br />Ce tion -;pIaint Install Removal Repair/Upgrade <br />IQMZV TECHNICIAN NAME:�Avw— -.-- ME 2i— <br />1 <br />Month/36 month) "V to <br />CCR 2711 (b) & (c) Current State Forms A & B <br />HSC; 25292.2 Certification of financial <br />responsibility and letter from <br />chief financial officer <br />—CCR 2630 (d) Continuous monitoring <br />System for UST system <br />6L—CCR 2636 (c)(1) All releases In secondary <br />piping flow to a collection <br />sump <br />7�-✓ HSC 25291 (e) Water in secondary (20) cont <br />8—HSC 25291 (0 Automatic line leak <br />detector(s) <br />9L--✓ CCR 2636 (f)(1) <br />Continuous monitoring <br />System for underground <br />g <br />10CCR2632 (c)(2) Copntinuous monitoring <br />System for UST <br />I --HSC 25291(a)(2) Secondary containment for <br />UST is tiht <br />12-LCCR 2636 (t)(1) Continuougs Monitoring <br />em for <br />13 yst <br />—CCR 2635 (b)(1) $Spill containedispenser system <br />r <br />14CCR2635 (b)(2) Overfill prevention system <br />15CCR2631 (a) Primary containment is <br />16Product-tight—HSC 25292.1 UST system is operated to <br />Prevent unauthorized release <br />17 CCR 2660 Recording/reporting <br />unauthorized <br />release <br />14—CCR 2632 (d) Monitoring & response plan <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 />—HSC 25284 Permit to operate 19 C-,2(—)CCR 2712 (Q <br />—CCR 2637 Second— contMonitoring & res ons i <br />JJ <br />2Q Is on site <br />_CCR 2712 (b) Maintenance & Monitoring <br />records <br />21 CCR 2636 (1)(4) Annual line tightness test <br />2i:i2�66R 2630 (d) Annual line leak detector test <br />23 CCR <br />2630 (d) Annual monitoring <br />certification <br />24 CCR 2643 (d) Daily monitoring Of Suction <br />piping that is not <br />continuously Monitored <br />2-5—CCR 2643 (d) Triennial tightness test of <br />suction piping that Is not <br />continuously monitor <br />26CCR2643 (e) Biennial tightness tesed t of <br />gravity Piping that is not <br />continuously monitored <br />27CCR2682 Upgrade requirements for <br />28CCR2661 UST system <br />29 Permit to repair UST system <br />_HSC 25286 (a) Permit to after monitoring <br />system <br />30HSC25298(a) illegal abandonment of UST <br />31HSG2 system <br />5298 N Permit to temporarily close <br />UST system <br />32 HSC 25298 (c) <br />Permit to close UST system <br />33HSC25291 (e) Water in 20 cont analyzed <br />and properly disposed of <br />34 --CCR 2640 (e) Single wall component within <br />_CCR 1000' of Public Well, no ELD <br />36 <br />35L_ 2635(a)(2)(A) Cathodic Protection testing <br />VIOlation(s) not listed above <br />