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SAN JOAQUIN COUNTY <br /> OENVIRONMENTAL HEALTH DEPARTMEN` <br /> 600 East Main Street, Stockton, California 95202-,,029 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.orglehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection <br /> 0 b46 mclu�-q� Dat <br /> 17 <br /> Facility address: !/ �,� I UST# <br /> [Akr�VLte � T U�+`-' `Product <br /> Facility Contact: Title: Phone: <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> (' Pressurized ❑Suction ❑Gravity echanical ❑Audiblelvisual <br /> Inspe tion type: Violations: <br /> outine onitoring Certification ❑Installation Q Other: M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Cade Section <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulakions V R <br /> V=Violation; RV=Re eat Violation V <br /> 1 HSG 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <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 res onsibili and CFO letter <br /> 5 CCR 2632 b Monitorin Program (Monitoring& Response Plan is current and approved by the local agency, <br /> 6 CCR 2712 i Monitoring Ian is onsite. <br /> 7 CCR 2712 b Maintenance&monitoring records M1 <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 monitorings stem is present (M1) <br /> 11 CCR 2630 d UST system monitoring equipment is proeerly located to detect a leak M1) <br /> 12 HSC 25291 b UST system monitoring equipment isoperational (M1) <br /> 13 CCR 2636 1 Continuous monitorings stem for underground piping & UDC is present (M1 <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 (M1 <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 21 containment analyzed&properly disposed of <br /> 22 CCR 2650 Record inglre o rting of unauthorized releases M1 <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 M1 <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636 4 Annual line tightness test M1 <br /> 28 CCR 2661 Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 a Biennial tightness test of graviiping (pre-January 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping (pre-January 1, 1984) (M1) <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 b Permit to temporarily close UST system <br /> 35 1 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 Disabling leak detection devices <br /> (a)(9)(%2) <br /> 37 HSC 25298 a Ille al abandonment of UST system <br /> 38 Other: <br /> EHO INSPECTOR: PHONE: UIC <br /> Se stem: <br /> Q Se ?20 people/day <br /> RECEIVED Y: TITLE: ❑Receiv ther than sanitary waste <br /> Other disposal ods: <br /> 11 Da wellslFrenc ins <br /> EHD 23-02-002 REV 8108 <br />