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SAN JOAQUIN COUNTY <br /> - <br /> *ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3rd Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.orgjchd <br /> UNDERGR IJND STORAGE TAN STP OGRAM INSPECTION REPORT <br /> Facility name: m Designate Operator: Insp ion Date: <br /> Facility address: UST# , <br /> Product <br /> Fa 'lily Contact: Title: Phone: <br /> � Vib 71/1Jr.'�-< <br /> Mo�itprigg Pain;I Piping system: Overfill prevention: <br /> l (� T ressurized ❑Suction ❑Gravity )[Mechanical ElAudible/visual <br /> Inspection type: Violations: <br /> outine �&onitoring Certification ❑Installation G Other: 1 ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section 8 <br /> V=Violation;RV=Re eat Violation V <br /> I HSC 25284 Permit to operate <br /> 2 'CCR 2637 Secondary containment test Performed <br /> 3 CCR 2711 & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 -Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712(i) Monitoring&response plan is onsite <br /> 7 CCR 2712 6 Maintenance&monitoring records Ml <br /> 8 CCR 2643 d Daily monitoring of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(cX2) UST monitoring system is present Ml <br /> I 1 CCR 2630 d UST system monitoring equipment is properly located to detect a leak MI <br /> 12 HSC 25291 UST system monitoring equipment iso rational M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631 a Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary pipingFlow to a collection sump <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635(b)(1) Spill container M2 <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases M. <br /> 23 CCR 2715 Desi nated Operator:(a Statement from UST owner; c-e Monthlyinspection; Em to ee training <br /> 24 CCR 2638 a Annual monitoringcertification <br /> 25 CCR 2638 a) Annual line leak detector test MI <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test MI <br /> 28 CCR 2661 Repair for tank/pipinghas had tightness test IM2 <br /> 29 CCR 2643 a Biennial tightness test of gravitypiping re-Janus 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jana 1, 1984) (MI <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661. Perot to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 a 9 Disablin leak detection devices <br /> 37 HSC 25298 a Ill, al abandonment of UST system <br /> 38 Other. <br /> EHD NSPECTOR: PHONE: �O UIC <br /> S tic stem: <br /> C S 22 eople/day <br /> TITLE: _-Receiv other than sanitary waste <br /> Other dis o I hods: <br /> C ,Ils/F. Drains <br /> l <br /> EHD 23-02-002 <br />