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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.socehd.com <br />E1NpEEiOElCVE} STORAGE TANK <br />UST PROGAtI�t l�[�PECTION REPORT. <br />Facility ,� <br />Name: ��,� , / /qc.� � ,,, <br />Facility <br />Address:�35 <br />1 I <br />t !V �� <br />Inspection <br />Date: Z% <br />:... <br />r .... n Non-Pressurrzefttp g <br />V <br />Title: <br />Date: <br />401 <br />CCR 2636(a)(3) <br />Suction piping not properly sloped or incorrectly located check valve (V705) <br />❑ <br />❑ <br />❑ <br />402 <br />CCR 2643(d) <br />Daily monitoring of suction pipe (pre -Jan 1984) not performed (V726) <br />❑ <br />❑ <br />❑ <br />403 <br />CCR 2643(d) <br />Triennial 0.1 gph line test for conventional suction piping not performed (pre -January 1984) (V664) <br />❑ <br />❑ <br />❑ <br />404 <br />CCR 2643(e) <br />Biennial 0.1 gph test for gravity piping not performed (pre -January 1984) (V665) <br />Offier Yolabons <br />❑ <br />❑ ❑ <br />2010 <br />See below <br />Unlisted Administration/Documentation violation (V736) <br />❑ <br />❑ <br />❑ <br />2030 <br />See below <br />Unlisted Operations/Maintenance violation (V743) <br />❑ <br />❑ <br />❑ <br />2060 <br />See below <br />Unlisted Design/Construction violation (V745) <br />❑ <br />❑ <br />❑ <br />Re iv (si tur <br />Title: <br />Date: <br />AW <br />Receivedy (print d nIns <br />ector: <br />Inspector phone: <br />y <br />EHIY 23-01 REV 07/78/16 Page 3 UST INSPEC I IUN REPUR I <br />