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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.smcehd.com <br />RAGE TANK U° <br />Facility , / i Facility q Inspection <br />Name: t ,� N 5e_rU� - �.L' ���'izuic, Address: 0 Sun 4-�. Ec . �v, 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 />❑o <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 />❑ <br />❑ <br />❑ <br />Unlisted Administration/Documentation violation (V736) <br />C1❑ <br />❑ <br />2010 <br />See below <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 />Receivedb (sign ure): <br />Title: <br />Date: <br />Received by (printed name): <br />Inspector: <br />Inspector phone: <br />-7 <br />f M a I' " <br />a Q cl 3 �S i <br />LHUZJ-Ul -KLV lUlu 1114 rage i uai ❑4zer_L.lIVIV KLYVKI <br />