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SAN JOAQUIN COUNTY <br /> `,ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3"Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.or <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: DDesig`nate yOperla-It ! Inspection Date: <br /> VC)IZ.dt--Y p 6P-4 F'ItA -1111.,_ '>t-zo tib <br /> Facility address: UST# I <br /> Product g� - <br /> Facility Contact: Title: Phone: <br /> r1� A�✓ARAtB s1vKF 539-824a <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> -� <br /> ✓J- 39D Pressurized ❑Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: Vi I tions: <br /> Routine ❑Monitoring Certification El Installation El Other: M 1-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATIONS) HSC=Califomia Health&Safety Code;CCR=California Code of Regulations V R V=Violation;RV-Repeat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondarycontainment test perfornied 01 <br /> 3 CCR 2711 6 & 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 .01 <br /> 5 CCR 2632 c 2 D Monitorin &response plan is current and filed with the local agency <br /> 6 CCR 2712 i Monitoring&response plarn is onsite <br /> 7 CCR 2712 6 Maintenance&monitoring records Ml <br /> 8 CCR 2643(d) Daily monitoring of suction piping(piv-Jammuy, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (MI) <br /> I 1 CCR 2630 d UST s stem monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 UST system monitorin equipment isoperational 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 sum <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 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases Ml <br /> 23 CCR 2715 DesignatedOperator:(a)Statement from UST owner; (c-e)Monthly inspection;(f)Employee training <br /> 24 CCR 2638 a Annual monitoring certification ./ <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) s/ <br /> 26 HSC 25284.2 Annuals ill containment testin ✓ <br /> 27 CCR 2636 4 Annual line tightness test M] <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test M2 <br /> 29 CCR 2643 e Biennial ti htness test of gravity pipingre-Januar I, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(prc-JanuaryI, 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 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 Other: <br /> EHD INSPECTOR: PHONE: UIC <br /> / `��it� (a f j s(3'� Septic system: <br /> Serves 220 people/day <br /> RECEI Y TIT L:Receives other than sanitary waste <br /> ' Other dismal methods: <br /> Dry wells/French Drains <br /> FHD 23-02-002 <br />