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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web.,wwW.sigov.o[g/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> UST System Observations <br /> 321 CCR 2636(,)(1) All releases in secondary piping do not flow to a collection sump o V Ei R o COS <br /> 322 CCR 2636(f)(2) Line leak detector not installed o V Ei R Ej COS <br /> 323 CCR 2636(f)(2) Leak detector failed to detect a 3.0 gph leak at 10 psi o V Ei R Ei COS <br /> 324 CCR 2635(b) No spill bucket installed or failed to provide a means to keep it empty Ei V o R [:i COS <br /> 325 CCR 2635(b) Spill container failed to contain a minimum capacity of five gallons Ei V o R Ei COS <br /> 326 CCR 2635(b)(2) Overfill prevention system not present or failed to meet overfill requirements Li V D R o COS <br /> 327 CCR 2635(b)(2) overfill prevention was overridden Ei V o R Ei COS <br /> 328 HSC 25283.5 Unburied below grade LIST failed to meet exemption status o V Ei R o COS <br /> 329 CCR 2717.1(g) Tampered with red tag o V D R Ei COS <br /> 330 CCR 2717.1 Deposited petroleum Into a red tagged UST o V Ei R ci COS <br /> 331 HSC 25299(0(2) Tampered with or disabled leak detection devices or alarms o V Ei R o COS <br /> 332 CCR 2631.1 LIST system not compatible with the substance stored o V Ei R o COS <br /> 333 HSC 25295(b) Failed to comply with temporary closure requirements Fj V Ei R o COS <br /> 334 HSC 25298(c) Failed to comply with permanent closure requirements o V Ei R Ei COS <br /> Non-Pressurized Piping <br /> 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve o V Ej R o COS <br /> 402 CCR 2643(d) Daily monitoring of suction pipe(pre-Jan 1984)not performed o V Ei R o COS <br /> 403 CCR 2643(4) Triennial 0.1 gph line test for conventional suction piping not performed(pre-January 1984) Ej V o R D COS <br /> 404 CCR 2643(e) Biennial 0.1 gph test for gravity piping not performed(pre-January 1954) Ei V o R o COS <br /> Other Violations <br /> 2010 See below Unlisted Administration/Documentation violation Ei V o R E:i COS <br /> 2030 See below Unlisted Operations/Maintenance violation Ei V ci R Ei COS <br /> 2060 See below Unlisted Design/Construction violation o V Ei R Ei COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-Notice to Comply) <br /> Item Remarks <br /> Overall Inspection Comments: <br /> Please bt-�� awzin,�',, tl-,0t_CL� ofF Janua i ary 1 7 22014, fladlity ai-e req_,iined upl'­ad th,(;s fdloW�^g )ST <br /> j,_jt'. �i­,:g Sit; P9 j. I,IST <br /> Reportfr�g Sysi""-""M ""Z." i !V3OMIOH <br /> Certification ofFirlar-icial ResponSibilify, USIF <br /> 1 r Des�gnated C).p�e) 'L Cornplianc-e. 'I S" <br /> applicable & d t ' �taternent, of Ueswg a_ natolr U r e L, I Uwne,/(_/.pa, <br /> Agreen-ienrt. if le, cav, Lich'-v-ev i t the fac'My ooa <br /> r ,uplded Into CEF"!.S, <br /> e stc -1 a, <br /> Page 3 of 4 <br />