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08/29/2007 10:58 2094650723 TOYS R US DC 58 PAGE 09/11 <br />SAN JOAQU[N COUNTY <br />_ ENVIRONMBN7'AL HEAIII'N DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209}468&3433 Web: www.sjggv_.c chd <br />UNDERGROUND STORAGE TANK (USTI PROGRAM INSPECTION REPORT <br />Facility name: j <br />v <br />Designatederator: <br />O'h,-i 7-¢- �i�ss�t <br />Inspection Date: <br />l3 f U') <br />Facility address: <br />A r ►+^ <br />G� .a G p nJ <br />UST # y <br />Prodt <br />uc <br />, <br />.D /'P <br />" <br />Facility Contact: Title: . Phone: 1 <br />QPJ M -A <br />rMonitori Panel: C <br />i/ n- L� <br />tpina system: <br />❑ Pressurized uction ❑ Gra ' <br />Overfill prevention: <br />kVwhani,al <br />Audibldvisual <br />Inspection type" <br />eonitorin <br />Certification ❑ installation ❑ Other. <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />CodeSt:ctlon <br />VIOLATION(S) HSC=California Health & Safety Code; CCR–California Code of Regulations v R <br />V=Violation' RV= eat Violation V <br />1 <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />'Secondary containment test performed <br />3 <br />CCR 2711 b & c <br />Current Unified Pr Consolidated Fortes on file with EHD(Facility and tank form <br />4 <br />1 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 . <br />CCR 2632Monitoring <br />Program Monitoring & Response Plan is current and approyed by the local agency. <br />6 <br />CCR 2712. i <br />Monitoring elan is onsite. <br />7 <br />CCP, 2712 <br />Maintenance & monitoring records <br />Ml <br />8 <br />CCR 2643 d <br />;, Daily mo. itoring of suction piping (pmJsnuary,1 1984 <br />9 <br />HSC 25292.1 <br />UST system is =ted to prevent unauthorised release <br />10 <br />CCR 2632 (c)(2),_ <br />UST monitoring tem is present <br />1 <br />11 <br />CCR -2634 d <br />UST system monitoring equipment is properly.loca ed to detect a leak <br />12 <br />HSC 25291 <br />UST system monitoring equipment iserational <br />Z <br />.13 <br />CCR 2636 1 <br />Continuous monitoring system for underground ' 'n & UAC is present <br />1 <br />14 .: <br />CCR2631 a <br />Primary containment is productti ht <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16. <br />CCR 2636 (cX1) <br />All releases in secondary pripingflow to a collection sum <br />.1.7. <br />HSC 25291 <br />Line lcalc.dcfecto § arc installed <br />AM 1 <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />M2 <br />'19 <br />CCR 2635)(2),Overfill <br />prevention system <br />2 <br />20 <br />CCR 2636 a <br />Conventional suction pirnng shall have continuous monitoring & 20 containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />CCR 2650 <br />Recordin ortin of unauthorized releases <br />1 <br />CCR 2715 <br />Designated for a Statement from UST owner; c -e Monthlyinspection; Em to <br />a traittin <br />CCR 2638 a <br />Annual monitorin certification <br />CCR 2638 a <br />Annual line leak detector test. <br />1 <br />[30 <br />HSC 25284,2 <br />Annual ill containment testing <br />CCR 2636 4 <br />Annual line tihtnew test <br />1 <br />CCR 2661 <br />'r for tank/p' T has had ti tne; test(M2)- <br />2 . <br />29 <br />CCR 2643 c <br />Biennial tightness test of vi • . Janus 1,4984) <br />CCR 2643 d <br />Triennial line test for conventional suction piping (prc-January1, 1984 <br />1 <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of pubbwell-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST s tem <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 <br />Permit to tmTorarily close UST s stem <br />35 1 <br />HSC 25298 c <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />1 <br />HSC 25298 a <br />Ills al abandonment of UST system <br />38 <br />Other: <br />ERD INSPECTOR: 1 <br />` ) d ( —� <br />PHONE: U1C <br />zZU peopldday <br />2 (1 `� 1(1 {✓ `7 fr,7 <br />TTrLEj ecei other thm sanitary wants <br />i s; <br />❑ wells/F ch Drains <br />RE EDB <br />I <br />EHD 23-02-002 REV 05/07 <br />