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�Q U I IY <br /> SAN JOAQUIN COUNTY <br /> a E ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton SCA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name; Designated Operator: Inspection Date: <br /> b4d ,AAA {.r4-,,4% <br /> I, OA zN b <br /> J/ <br /> Facility address: {� � UST <br /> Ll t Ck'� en— VV3� o(�' lC..r�0-'V'j Product <br /> Facility Contact; Titie: Phone: <br /> OwJ <br /> Monitoring anel: Piping system: Overfill prevention; <br /> \)f— Pressurized SLIC11011_ Ll Gravity Mechanical ❑Audible/visual <br /> Inspection type: Violations: <br /> outine Mon i toring Certification ❑Installation 0Other: _ .)'491-RDetect ❑M2-RPrev _ M-3 Hntl7 <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations N' R <br /> # Code Section <br /> V=Violation;RV=Re eat Violation <br /> I HSC 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 responsibility and CFO letter <br /> 5 CCR 2632(c)(2)(D) Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712 i Monitoring&response plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records (MI) <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 M1 <br /> 1 I CCR 2630(d) UST system monitoring equipment is properly located to detect a leak (M1 <br /> 12 HSC 25291 b UST system monitoring equipment iso erational M2 <br /> 13 CCR 2636(0(1) Continuous monitoring system 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 (f) Line leak detector(s)are installed (NI 1) <br /> 18 CCR 2635(b)(1) spill container (V12) <br /> 19 CCR 2635(b)(2) Overfill prevcntion system (412) <br /> 20 CCR 2636(a) Conventional suction piRing shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases (M1) <br /> 23 CCR 2715 Designated O erator: (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 (M1) <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (M1) <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 piping(re—January 1, 19 84) <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1, 1984 Ml <br /> 31 HSC 25292.5 Double wall system 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 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 /> S tics em: <br /> Li Serve fl people/day <br /> RECEIVE BY;L TITLE.: 11 Receives r than sanitary waste <br /> Other dis osal meth <br /> ❑Dry wells/French. rains <br /> EHD 23-02 <br /> 113/07 <br />