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SAN JOAQUIN COUNTY
<br /> "• a ENVIRONMENTAL HRALTA-DEPARTMENT
<br /> 304 East Weber'A`venue,.3`d Floor,stocktori;CA 95202-2708
<br /> Telephone:(209)'468-9420'Fiii:(209)468-3433;We is wv6ivv:sjgov.org
<br /> UNRGROUND STORAGE TANK .
<br /> UST PROGRAM INSPECTION REPORT
<br /> Facility name's Designated Operator: Inspectlon.Date:
<br /> Facility address: 'UST#
<br /> Product
<br /> Facility Contact: T;tl Phone:
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<br /> Monitoring Panel: �Pi,pring system: '. "' Overall pr6entlon:
<br /> I Pressurized 0 Suction D Gravity DAechanical O Audibl6Msuil.
<br /> Inspection type: F`t'�k c,. �,,' Violations:
<br /> 0 Routine 0 Monitorin Certification ' 17 installation Other: •l�'�'', s`P _ L -,
<br /> Q M 1-RDetcct .0 M2-RPrev.. 0 M-3 Both
<br /> q CodeStectlod VIOLATION(S)lHSC=Galifornia.Health-&Safe;y.Code;CCR= alifatniaCode,ofRegulations VR
<br /> V=Violation;RV=R t Violation V
<br /> 1 HSC 25284 Permit to o rate
<br /> �.:a,"�';C 2 �� -:`;a " i ecctnd `CO.i} nTY1..t.t�St ietfbrtated r.F°';cV ,i.,t,a : µp! i.a�„u���. �n�.'kk su � ,:�a.�s•r�1"U�,�'.�a �; �'t .�i
<br /> �I3 CCR 2711 & c Current:Unified Pro .Consul dated Forms on firIa wtth EHD(Facility-and tand tank
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<br /> ':•4 � .:��ISC'�529 .2•�.-' ��:� a'Cei�iftcattOtt.01'ftfiant;tal'. _rii�lbill�•'and'Cl~btlt`fer,:'� r-'�'- _,9'',!�'r��•,�w,F�'.,�:Y-f�� '"_ ,.�t :, �5r�'��„l� '��,..I,a� ,"� a�,rt
<br /> 5 CCR 2632 c 2 D Moititorin9&response lan'is current and:liled'w"tth the local a enc:
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<br /> 7 CCR 2712 Maintenance&monitoring records M1
<br /> ^8,�,:.,J'CCR;26.4,3• ..,:�.-,��:�.,t:�Dat� ",lnzlnttot°ittoiii
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<br /> 9 HSC 25292.1 UST's stem iso erated to prevent unauthorized release
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<br /> 1 ICCR 2630 d UST system monitorin tui mMt is properly located to detect a leak- t l.
<br /> 2� �.�)�. -:25291. a,,.�,�wpr.� ;yJ5 ;s stem rnonttonn -. 6Gt: rtt::ts':o t�oh'al m ��6,a, >;�.: 9�,� y�w��;5"��'k'`� i?a;�.„ �i�;�;:�������w ;�r��• ���a:
<br /> 13. CCR 2636 1 Continuous monitoring stem for underground piping&UDC is present I
<br /> : 4 2631: a x la.•. a
<br /> 1 ..... ,CCR : . . tm contatrttttt!tIt tiS. _oduct s= eEar
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<br /> 15 HSC 25291 #2) Seconds containment for UST is tight
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<br /> 17 HSC 25291 Line leak detectors are installed M1
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<br /> 19 CCR 2635 2 Overfill prevention system MZ
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<br /> . aC�RR 2636 a
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<br /> �.:r,. ,,,w. . 1gi$orenttona1 sttchoii j`to sli2ill.hav 'cont pi9oila'itiQftttSF l.q 9c s2t'G�Dif> nit3eiit.f�:e_,::.r. �is
<br /> .21 HSC 25291 (e) Water in 29 containment.anal ed'& ro rl ¢i sed of,
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<br /> �"_.. .. ecu o t�sts:�� St E �`�"' : �A. s�W�;��
<br /> 23 CCR 2715 Designated O rator: a Statement from UST owner, (c-e)Monthl i tion; E ki'ee training' "
<br /> ;Pa t, GR63 . a � ' `s- :,11►itn #no fd' . ' ertton� .,t. _h Rtkif� k9 €,^^ntis Unfit= _ ?�ux36 " `t ,i��d,41 _ ;:vrk ill";' 1
<br /> 25 CCR-2638 a 'Annual line leak detector test Ml
<br /> .ii'n�'°+i•i "taut: I:�i4_e�ni;t�C��.9' c.,;�nir''-:-,e
<br /> 26:�•.s, .IBIS ':,�5284> � �:c 't9lttttl>al- ..11'copts6tttrnCnt ,i?�: r,pfrs,���i �t��:,�::i�>.:'•�= ;:t` ';�'��-_'�� ��: .�'�' i k :M!r�
<br /> 27 CCR 2636(f)(4) Annual line tightness test 1
<br /> 28".'.:CCR 2b61:< ala d 7 ..: ;,
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<br /> 29 CCR 2643 a Biennial ti" tress test of avi piping re4anu 1 1984
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<br /> :.30 a' 3 ,•p,�r- 'l ennta;hnett t' gr;con. etittAtialstt0ion- i iii` to .sit :1..:.98?I., and � nY,p m1v :R .M} :a M' ;rr
<br /> 31 HSC 25292.5 Double wall's stem located within'1009'of Rublic-well-ELI)
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<br /> 33 HSC 25286 a Permit to alter monitoring system
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<br /> 34 SC.2524 t�t.r:A ' 1?a ifYb'te ranl use 3T•' em_„vri;� ��r� ��,.e �m���= }it...:�o;=� t �� �:t9 .' �ti�'�� '
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<br /> 35 HSC 25298 c Permit io close UST's tette•
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<br /> 37 HSC 25298 a Ille al abandonment of UST system
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<br /> X383 .'Other �.-_:,.-._mr.. -Mac ,..._d^t,�nxl�,,.ux•:..a. Wul.,,;;_. _ .I .g_r-' :: naxaR u.c.}.rasuelna•i. w+fL uyH,::
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<br /> EHD INSPECTOR: t PHONE: UIC
<br /> is E f.- r_.:�M t Septic system:
<br /> ❑Serves 220 people/day
<br /> RECEIVED B , TITLE: ❑Receives other than sanitary waste
<br /> Other ma
<br /> disl methods!.
<br /> ❑ �wclls/French chains
<br /> • 7
<br /> E14D 23-02-002
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