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SAN JOAQUiN COUNTY <br /> *ENVIRONMENTAL HEALTH DEPARTMEN-0 <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.s'gov.org/ehd <br /> Facility name: UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Designated Operator: <br /> j/q ' inspection <br /> PNct' b EtP' � s rVe - 4r <br /> �Z. Date <br /> Facility address: 1 {-� Ius r <br /> �,If p `�G Lj}� # <br /> Facility Contact: Product <br /> Title: Phone: <br /> Mo`�nitories Panel Piping system: / <br /> V V_ (. _ Overfill prevention: y <br /> ressurized ❑Suction I?GravityMechanical <br /> Inspection type: ❑Audiblelvisual <br /> Routine Violations: <br /> onitoring Certification ❑Installation ❑Other: <br /> ❑Mi-RDetect ❑M2-RPrev D M-3 Both <br /> # Code Section VIOLATION(S} HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> 1 HSC 25284 V=Violation; RV=Re eat Violation V <br /> Permit too este <br /> 2 CCR 2637 Seconda containment test performed <br /> 3 CCR 2711 b & c Current Unified Pro ram Consolidated Forms on file with EHD (Facilityand tank form <br /> 4 NSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b Monitorin Pro ram Monitorin & Response Plan is current and approved b the local a enc . <br /> 6 CCR 2712 i Monitorin lan is onsite. <br /> 7 CCR 2712 b Maintenance&monitoringrecords <br /> 8 CCR 2643(d)_ Dail monitorin of suction piping re-Janua , 1, 1984 M1 <br /> 9 HSC 25252.1 UST s stem iso erated to revent unauthorized release <br /> 10 CCR 2632(c)(2 UST monitoring system is present <br /> 11 CCR 2630 d UST system monitorin equipment is properly located to detect a leak (Mi) <br /> 12 HSC 25291 b UST system monitoring equipment is operational M1 <br /> 13 CCR 2636(f)(1) Continuous monitoring s stem for under round i in & UDC is resent {M1} <br /> 14 CCR 2631 a Prima containment is product ti ht {M1 <br /> 15 HSC 25291 (a)(2) Seconda containment for UST is ti ht <br /> 16 CCR 2636 (c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detecior(sl are installed <br /> 18 CCR 2635 b 1 Spill container (M1 <br /> 19 CCR 2635 b 2 Overfi11 prev ration system {M2) <br /> 20 CCR 2636(a) Conventional suction pipjn2 shall have continuous monitoring&20 containment {M2 <br /> 21 NSC 25291 (e) Water in 20 containment analyzed&pro erl It disposed of <br /> 22 CCR 2650 1 Recordinglre. ling of unauthorized releases <br /> 23 CCR 2715 Designated O erator: a Statement from UST owner; c-e Mont hl ins ecfian; Em toee training <br /> 24 CCR 2638(a)- Annual monitorin certification <br /> 25 CCR 2638 a Annual line leak detector test <br /> 26 NSC 25284.2 Annuals ill containment testingMi <br /> 27 CCR 2636 4 Annual line tightness test <br /> 28 CCR 2661 Repair for tank/piping has had tightness test M1 <br /> 29 CCR 2643 a Biennial ti htness test of Tsui i in re-Janua 1, 1984 (M2 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-Janua 1, 1984) <br /> 31 HSC 25292.5 Double wails stem located within 1000'of public well-ELD (M1} <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSG 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 (bj Permit to temporarily Gose UST s stem <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 Disabling leak detection devices <br /> KEHD9 F 2 <br /> SC 25298 a Illegal abandonment of UST system <br /> ther: <br /> PECTOR: ✓ PHONE: -- <br /> 'r(`1 / U '7 I1 UIC <br /> j s stem: <br /> RECEIVED s?20 people/day <br /> TITLE: eceiv her than sanitary waste <br /> !O:therdis oralme ds: <br /> welislFrench s <br /> EHD 23-02-002 REV 8108 <br />