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V U <br />EHD 23-02-002 REV 05/07 <br />SAN r` r. COUNTY <br />*NVIRONMENTAL <br />VIOLATION(S) HSC=Califomia Health &S�y Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Eepeat Violation <br />HEALTH DEPARTMENT <br />Permit to opgate <br />600 East Main Street, Stockton, California 95202-3029 <br />SecondN�.containment test perfortned <br />Telephone: (209) 468-3420 Fav (209) 468-3433 Web: www.sig-py.orwe <br />4 - <br />UNDERGROUND STORAGE TANK (UST) PROGRAM <br />INSPECTION REPORT <br />Facility name: <br />id <br />I Designated Operator: <br />Inspection Date: <br />in is onsite. <br />Maintenance & monitorin records (Mi) <br />Facility address: <br />-MMIN11.11-1-1- <br />UST system is op5ra ed to prevent unauthorized release <br />12qjo pre... <br />UST monit2tE&syste (w) <br />Facility Contact: <br />r A <br />Title: Phone: <br />47 <br />UST S monitoring equif ent is op onal <br />-yst <br />containment is 2roduct tight <br />oititor ng Panel: <br />Pbinstem <br />�g sy: <br />91ressurized El Suctio U G <br />Ovp&fill prevention: <br />Mechanical 11 Audible/visual --A <br />,r.. .r: ty�-jr--'i;iolations-. <br />pe: <br />------------------- �Other: 114--ftcAliblai <br />16 ilk <br />I El M I -RDetect El M2-RPrev <br />0 M-3 Both <br />V U <br />EHD 23-02-002 REV 05/07 <br />Code Section <br />VIOLATION(S) HSC=Califomia Health &S�y Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Eepeat Violation <br />�I <br />Permit to opgate <br />SecondN�.containment test perfortned <br />4 - <br />09 <br />Certification of financial res onsibi i and CFO letter <br />id <br />in is onsite. <br />Maintenance & monitorin records (Mi) <br />-MMIN11.11-1-1- <br />UST system is op5ra ed to prevent unauthorized release <br />12qjo pre... <br />UST monit2tE&syste (w) <br />UST S monitoring equif ent is op onal <br />-yst <br />containment is 2roduct tight <br />SecondTly containment for UST is tight <br />All releases in second . It g flow to a collection sump -- ---- <br />Line leak detec t®r( ) are installed <br />Spill container <br />•t, <br />in on system 2 <br />Overf <br />7MM <br />Water in 2' containment analyzed & !,jrp�p�eddis�of_...._ I <br />Recordin&�orting of unauthorized releases (MI) -MM <br />Ww" <br />-IMIRIE41,11- <br />�-Aimual monitorin% cggification <br />Annual line leak detector test (M.LEMM <br />I .. - �Lmm <br />Ann al line tiq n test (MI) mm <br />I <br />Itness test_ (M2) WN <br />for tank/pi .Us had tig- <br />_'%air <br />Biennial tightness test o piping_(pre-January 1, 1984)__ <br />Mmtmm <br />...... <br />Double wall system located within 1000of oublic well-ELD <br />to EEair UST system <br />Permit to alter <br />Permit to temnorarilv close UST system, <br />Permit to close UST system <br />D leak detection devices <br />0 <br />Illegal abandonment of UST system <br />NSPECTOR: <br />♦1 <br />PHONE: Sgptic ustem: UIC <br />0 people/day <br />--iffe—ft =any <br />s sain waste <br />! Receive5 <br />Other di�Wsal methods: <br />Dry wells/French Drains <br />V U <br />EHD 23-02-002 REV 05/07 <br />