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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Ok <br /> 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.or leg_hd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name. Designated Operator: Imp ction Date: <br /> E KA 1 I `s U e l ljo�r l S � st,ef Do4►.I ���LNe S 2-710 - <br /> Faaciiliityaddress: �p� y1/'�,./� ) \ /� ('" UST# R� f" 6 <br /> { _ {OS ��I ' ITV' • _ ��1 O�� ! !%Sl-.H{ Product O <br /> Facility Contact: Title: Phone: <br /> CI'-A-Lo TLNW�< QK^641 <br /> Monitoring Pa el: Piping system: Overfill prevention: <br /> v Q L Pressurized ❑Suction ❑Grave echanical [IAudible/visual <br /> Inspection type: iola[ions: <br /> outine ❑Monitoring Certification ❑Installation ❑Other: 1-RDetect ❑M2-RPrev 17 M-3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V <br /> V=Violation;RV=Re at Violation <br /> 1 HSC 25284 Permit to operate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 6 & c Current Unified Program Consolidated Fomes on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter )C <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 planis 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(c)(2) UST monitoring s stem is present Ml <br /> I 1 CCR 2630 d UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 UST system monitoring equipment isoperational M2) <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 263.1 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 1 Spill container (M2 <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR.2636.(a) Conventional suction Liping 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 MI <br /> 23 CCR 2715 Designated Operator: a Statement from UST owner, (c-e)Monthly inspection; Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test MI <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636 4 Annual line tightness test MI <br /> 28 CCR 2661 ) Repair for tank/piping has had tightness test (M2 <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1, 1984 MI <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 1 HSC 25298 Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 1 Other: <br /> EHD INSPECTOR /yw�// PHONE: Keothu <br /> C <br /> 1 r � d 8� • !/ V , Se <br /> ple/day <br /> RECEIVED BY: TITLE: than sanitary waste <br /> Othds: <br /> ch Drains <br /> EHD 23-02-002 <br />