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6 SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.html <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facilit _ <br />NamkLoo <br />Facility r <br />Address: [,() <br />Inspectio <br />Date: �f <br />Facility <br />Contact: �, Vt ' <br />I Title: <br />Ph <br />0 <br />Inspection <br />Type:lCRoutine Monitoring System Certification Installation :_ Complaint - ID#: 1 Other: <br />(Authority H (5289) <br />Consent for: nspection ! Sampling hotos Granted by. C if 'r hann C;\O'vy�m) up"t'A <br />Monitoring • <br />Panel: <br />1 <br />Piping eessurized %Suction Gravity Overfill j�M chanical �{AudibleNisual <br />System: Prevention: <br />UST <br />------Product - <br />-----•--w------- <br />-------------[---1-1--d-------------- <br />------------ <br />LIE <br />- - - - - - <br />-------------- <br />-- - - - - - <br />- - - - - <br />Designate IGC Exp. ry <br />Operator: Date: 4 <br />Violations; M1 -Release Detection M2 -Release Prevention M3 -13oih <br />On Site Servic ICC Exp. Manufacturer's <br />Technician:cpeDate: �,� Training: ' <br />VIOLATIONS <br /># Cl <br />C2 <br />M Code Section <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />101 HSC 25284 No permit to operate <br />102 HSC 25404.5 Annual operating fees not paid <br />103 HSC 25284(a)(3) No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 HSC 25292.2 Current financial responsibility documents not on file with the Environmental Health Department (EHD) ) <br />105 CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 CCR 2632(b) Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 CCR 2637 Secondary containment: (a) test not performed; (e) test report not submittec},i <br />not provided to the EHD at least 48 hours prior to conductingthe test (J <br />lin 30 days; (f) test notification <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 CCR 2638 (e) test notification not provided to the EHD at least 46ours prior to conducting an installation, repair, <br />replacement, calibration, or certification <br />110 HSC 25291(f) Annual line leak detector test not performed (M1) <br />111 HSC 25284.2 Annual spill containment testing not performed <br />112 CCR 2636(f)(4) Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br />114 CCR 2715(b) Designated operator does not possess a current ICC CA UST System Operator certification <br />115 CCR 2660(k) Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />permit conditions <br />116 HSC 25292.5 Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 CCR 2661 Permit to repair UST system not obtained <br />118 HSC 25286(a) Operational permit not amended when UST storage and/or monitoring system changed <br />119 HSC 25298(b) Permit to temporarily close UST system not obtained <br />120 HSC 25298(c) Permit to close UST system not obtained <br />;1.i7»,SfeR�aoids <br />201 <br />CCR 2712(b) <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 % years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 <br />CCR 2712(i) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />203 <br />CCR 2650 <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not re orted to the EHD within 24 hours <br />Inspector Received T Title: <br />=HD 23-0 Rev 9!1!11 Page 1 UST INSPECTION REPORT <br />