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SAN JOAQUIN COUNTY DATE <br />NVIRONMENTAL HEALTH DEPAR NT PA <br />PAG E / <br />E. Weber Ave., Third Floor, Stockton, 5202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />'100481 <br />., 1111111 4ft&A <br />ems�� <br />1 - <br />uramiwsrnnsP (rev 7124102) <br />Facility Name_Arap 5_V96 Facility Address_ d t 7 LJ. cmc -rid <br />Facilty Contact !4",e TTitle Py* Plum Phone # 2!C"F <br />UST#J_ Product_ST#r2- Product ' 0t -UST# 3 Product�UST# Product <br />Overfill Prevention: ❑ AudibleNisual 21Vechanical Monitoring Panel: - 350 <br />Piping System: ❑ Gravity I315ressure ❑ Suction Violations: 9-iGlinor ❑ Major <br />Automatic Pump Shut Down Satisfies CCR 2636 g): 0"Yes ❑ No Dispenser Pan: CYYes ❑ No <br />INSPECTION TYPE: outine onitoring Certification ❑Complaint <br />❑Install ❑R moval <br />❑Repair/Upgrade <br />COMPANY NAME: % TECHNICIAN NAME: '4 <br />PHONE: <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety <br />Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 <br />HSC 25284 Permit to operate 20 <br />CCR 2712 (b) <br />Maintenance & monitoring <br />2 <br />CCR 2637 Secondary cont testing (6 <br />records <br />month/36 month) 21 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />3 <br />CCR 2711(b) & (c) Current State Forms A & B - 22 <br />CCR 2630 (d) <br />Annual line leak detector test <br />4 <br />HSC 25292.2 Certification of financial 23 <br />CCR 2630 (d) <br />Annual monitoring cerii kation <br />responsibility and letter from 24 <br />CCR 2643 (d) <br />Daily monitoring of suction <br />chief financial officer <br />piping that is not continuous!; <br />: 5 <br />CCR 2630 (d) Continuous monitoring system <br />monitored <br />for UST system 25. <br />CCR 2636 (a) <br />Conventional suction piping <br />6 <br />CCR 2636 (c)(1) All releases in secondary piping <br />shall have continuous <br />flow to a collection sump <br />monitoring & 2' containment <br />7 <br />HSC 25291 (e) Water in secondary (2°) cont 26 <br />CCR 2643 (e) <br />Biennial tightness test of gravit. <br />8 HSC 25291 (f) Automatic line leak detector(s) <br />piping that is not continuous'y <br />9ZCCR <br />2636 (f)(1) Continuous monitoring system <br />monitored <br />for underground piping 27 <br />CCR 2662 <br />Upgrade requirements for US -� <br />10 CCR 2632 (c)(2) Continuous monitoring system <br />system ` <br />for UST 28CR <br />2661 <br />Permit to repair UST system. <br />11 <br />HSC 25291(a)(2) Secondary containment for 29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />UST is tight <br />system <br />1�CCR 2636 (f)(1) Continuous monitoring system 30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />for dispenser system <br />system <br />lal`I3 <br />( LCCR 2635 (b)(1) Spill container 31 <br />HSC 25298 (b) <br />Permit to temporarily close US" <br />14 CCR 2635 (b)(2) Overfill prevention system <br />d'y <br />system <br />15E <br />CCR 2631 (a) Primary containment is product- 32 <br />HSC 25298 (c) <br />Permit to close UST system <br />tight 33 <br />HSC 25291 (e) <br />Water in 20 cont analyzed and <br />16 HSC 25292.1 UST system is operated to <br />properly disposed of <br />prevent unauthorized release 34 <br />CCR 2640 (e) <br />Single wall component within <br />17 CCR 2650 Recording/reporting <br />1000' of Public Well, no ELD <br />unauthorized release 35 <br />CCR 2635(a)(2)(A) <br />Cathodic protection testing <br />18 CCR 2632 (d) Monitoring & response plan 36 <br />H&SC 25299(a)(9) Disabling leak detect. devices <br />19 CCR 2712 (i) Monitoring & response plan is .— 37 <br />Violation(s) not listed above <br />on site <br />'100481 <br />., 1111111 4ft&A <br />ems�� <br />1 - <br />uramiwsrnnsP (rev 7124102) <br />