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# a'W Zke�L <br /> # <br /> Facility name: Designated Operator: <br /> FL-,-t 10 6 13 C./.V <br /> Facility address: <br /> _-TAo� aje- f N <br /> Facility Contact: Title: Phone: <br /> R1 <br /> ,"—Monitoring Panel: Piping system: Overfill prevention: <br /> VP_ IV IS2:1 NWesstrri�.d 0 Suction 0 Gravity kl�ehani,al 0 Audible/visual <br /> Inspection type: <br /> ine N4onitoring Certification 0 Installation 11 Other: <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations <br /> Code Section V=Violation:RV=Reveat Violation <br /> Permit to onerate <br /> MSecondary containment test ed <br /> IMM MAVA I Kjjjw&�KSMEMM" <br /> Certification of financial responsibility and CFO letter <br /> n is onsite. <br /> Maintenance&monitorin2 records <br /> toring of suction pi2in_ January,, 1 1984) <br /> -UST-s stem is o to v t unauthorized release <br /> K414lao, UST monitorin vstem is present (Mi) <br /> UST system monitoring--i—ent is q[2perly located to detect a leak NO <br /> M! HSC 25291 (b) UST system monitorin erational (M2) <br /> M�CCR 2636(f)(1) • all —M <br /> M m��r�yntai�nment is�ruct�figjL. <br /> • <br /> Seconda <br /> ry containment-for UST is tight <br /> releases in second vi•in• flow to a collection sumr) <br /> Line leak detector(s)are installed (M-1) <br /> jil-ill co• ntainer (M2) <br /> 'Kim. (M2) IMM <br /> 1 Overfill prevention system <br /> Conventional-suction piping shall have continuous monitoring&2'containment MM <br /> MWWater in 2'containment analyzed&pnerly disp sed o <br /> Recording/reporting of unauthorized releases (MI) MM <br /> I M <br /> Annual monitoring certification <br /> Annual line leak detector test (Mly— <br /> Annual snill containment Lesting— <br /> Annual llinc�ti htness test (Mi) <br /> Win <br /> • <br /> L)o <br /> Permit to repair UST svalem <br /> Permit to alter monitoring system <br /> my,M M 1&.1 Pen-nit to!TRjrarily close <br /> Permit •to •close UST s%ggg._ <br /> Disablin�leak detection devices <br /> Il legal abandonm stem <br />