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rift 10y!1410011 0tl: :$4 ;N'J4a ,.J r 1t' IM rLUUK rAtat 101 <br /> eerver4VNfflr-1%1AL h;~ALTH DEPART' PAGE t <br /> E.Weber Ave.,Third Floor.Stockton,C Q E-Aj- <br /> (209)466-3420 bI`erp+� <br /> UNDERGROUND STORAGE TANK(UST)PROGRAM INSPECTION REPORT <br /> Facility Named +,s Facility Address %W %4%C:R r- Q0 !2 <br /> Fadlty Coma ct �e»W s..a�.u� Thle Phone# 001► <br /> USTOa Product UST# ProduCt Q\ UST# Product UST#__j?roduct___a__� <br /> Over'lil Prevention: OAudible/\A�isGi 17Meehanicat �Ilonitoring Panel:a� yl..11. � <br /> Piping System: ❑t3ravlt idFressure 0 Suction <br /> y / Violations: inor ❑Major <br /> Automatic Pumg Shut D wn Satisfies CCR 2636 ): W Ves O No Dispenser Pan: as Q No <br /> INSPECTION TYPE: MRoutine EiMonitoring CertiftCatlon OCarr►plaint Olnstal! ORemoval ORepalr/Upgrade <br /> COMPANY NAME: TECHNICIAN NAME: PHONE; <br /> VIOLATIONS' <br /> The above facility is not in compliance with the following section(a)of Health & Safety Code(HSC)and/or <br /> California Code of RegUlations(CCR): <br /> 1--HSC 23284 Permit to operate 20ILCCR 2712(b) Maintenance&,monitoring <br /> 2 CI CR 2637 Secondary cont testing (g records <br /> month/36 month) I 2i CCR 2536.(fj(4) Annual line tightness nest <br /> 3 CCR 2711(b)& (c) Current State Forms A&S '22 ^CR 2830(d) Annual!rte leak detector test <br /> 4 HSC 25292.2 Certification of financial 23CCR 2630(d) Annual monitoring certification <br /> responsibility and letter from 24 CCR 2643(d) Daly monitoring of suction <br /> chief financial officer piping that Is not continuously <br /> 5,r„.,_,CCR 2630(d) Continuous monitoring system monitored <br /> for UST system 23 CCR 2636(a) Conventional suction piping <br /> 5_____CCR 2636(c)(1) All releases in secondary piping shalt have continuous <br /> flow to a collection sump monitoring &20 containment <br /> 7 HSC 25291 (e) Water in secondary(20)Cont 26 CCR 2643(e) Vennief tightness test of gravit; <br /> B HSC 25291 (f) Automatic line leak detector(s) piping that is not continuousiy <br /> .9-COR 2636(f)(1) Continuous monitoring system monitored <br /> for underground piping 27 CCR 2662 Upgrade requirements for UST <br /> 10-2 CCR 2632(c)(2) Continuous monitoring system system <br /> for UST 28 CCR 2661 Permit to repair UST system <br /> 11_HSC 25291(e)(2) Secondary containment for 29 HSC 25286(a) Permit to atter monitoring <br /> UST is tight system <br /> 12 CCR 2838({)(1) Continuous monitoring system 30 HSC 25298(a) Illegal abandonment of UST <br /> for dispen.ersystem system <br /> I3_CCR 2635(6)(1) . ,Spill container 3i HSC 25298(b) Permit to temporarily close US' <br /> 14�CCR2635(b)(2) ,Averfillpreventon system system <br /> 15 CCR 2631 (a) Primary containment is product- 32 HSC 25298(c) Permit to close UST system <br /> tight 33 HSC 23291 (e) Water in 2-Cant analyzed and <br /> 16 HSC 25292.1 UST system is operated to properly disposed of <br /> prevent unauthorized release 34 CCR 2640(e) Single wail component within <br /> I 7 CCR 2660 Recording/reporting 1000'of Pub6C Uysll,no ELD <br /> unauthorized release 35 CCR 2635(s)(2)(A)Cathodic protection testing <br /> I8„`,-,_CCR 2532(d) Monitoring&response plan 36 H&SC 25299(x)(9)Disabling leak detect.devices <br /> 19 CCR 2712(i) Monitoring&response plan Is 37�® Violation(s)not Listed above <br /> on sae <br /> EHD INSPECT PHONE: 4-?Aly \ <br /> RECEIVED BY: -"T[TLE: r 0, <br /> wvmiW3'rf�Q3?aa��+>o�, <br />