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0 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sijzov.org/e <br /> UNDERGROUND STORAGE TANK ST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspec'on Date: <br /> RANGWO SIJ tAr &0r- , p/lAr(Ca/r Zone Ntr►.�ueF (��<3`f <br /> Facility address: c S L './ /�/s I UST# 'L <br /> I 2 J. A 1'r or 1 Vv * l�� V C' � ( N 'P odor[ - $� <br /> Factnt Contact: Title: Phone: <br /> Gr ha^ r S�lV'A q42 . 2046 <br /> Monitoring Pa el: Piping system: r R/(/may,) OverBR prevention: <br /> A-TS16 <br /> S essurized ❑Suction ❑Gravity Mechanical 4 udible/visual <br /> Inspection type: iolations: <br /> outine jkSlonitoring Certification ❑Installation ❑Other: 1-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CC =Califomia Code of Regulations V R <br /> # Code Section V <br /> V=Violation;RV=R eat Violation <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Second containment test perforined <br /> 3 CCR 2711 b)& 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 6 Monitoring Program(Monitoring&Response Plan is current and approved by the local agency. <br /> 6 CCR 2712 i) Monitoring plan is onsite. <br /> 7 CCR 2712 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 system is present (Ml) <br /> 11 CCR 2630 itUST system monitoring equipment is properly located to detect a leak (Ml) <br /> 12 HSC 25291 UST s stem monitoring equipment is operational (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 (MI) <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&2°containment <br /> 21 HSC 25291 (e) 2.containment analyzed&properly disposed of <br /> 22 CCR 2650 Recordi reporting of unauthorized releases (Mi) <br /> 23 CCR 2715 Designated Operator a Statement from UST owner; c-c)Monthly ins do m to ee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (Ml) <br /> 28 CCR 2661 f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e) Biennial tightness test of gravity pipingre-January1, 1984 <br /> 30 CCR 2643 d) Triennial line test for conventional suction piping(prc-January1, 1984) (Ml) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Perrnit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 b) Permit to ternporarily 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 INSPE \R: V PHONE: Ot/ l <br /> ' 6 ,— SServesrop�� <br /> RECEIVE �E ❑Reives oth <br /> sanitary waste <br /> Other disposal methods: <br /> L•lNi►-� C: wMs/French lha <br /> EHD 23-02-002 REV 05/07 <br />