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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ^ 304 East Weber Avenue, 3 d Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Facility name: UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Designated Operator: Inspection Date: <br /> 69Anit UNE V40-D Eo 5re*"-s 3-13-07 <br /> Facility address: ' UST#/l^ LANE <br /> p /� c <br /> (�, t/r LANE PD. <br /> RAJ a <br /> Product 1 <br /> Facility Contact: } Phone: <br /> [R o�n��oorrit�(g(jPa�nel: Apt Piping system: n / <br /> " "' �w� Pressurized ❑Suction 0 GravityO dill prevention: <br /> I pec[ion type: <br /> echanical ❑Audible/visual <br /> Violations; <br /> outine ❑Monitoring Certification ❑Installation ❑Other: Ml-RDetect ❑M2-RPrev 11M-3 Both <br /> # Code Section VIOLATIONS) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> V=Violation;RV=geaiolaton V1 HSC 25284 Permitto o -rate2 CCR 2637 Second containmttet erformed <br /> 3 CCR 2711 (b)& c Current Unified Pro am Consolidated Forms on file witacilit and tank formHSC 25292.2 Certificationoffinancial res onsibilit and CFO letterCCR 2632(c)2 D Monitorin &res ons- tart is current and filed with the lc <br /> 6 CCR 2712 1 Monitoring&response plan is onsite <br /> 7 CCR 2712 Maintenance&monitoringrecords (Ml <br /> 8 CCR 2643 d Dail monitorin of suction i in (pre-January, ' <br /> re-Janna , 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 /> 1 I CCR 2630 d) UST s stem monitoringequipment is properl located to detect a leak (Ml <br /> 12 HSC 25291 UST system monitoring equipment iso operational MI <br /> 13 CCR 2636( I) Continuous monitorin s stem for <br /> riderground piping&UDC is resent MI) <br /> 14 CCR 2631 a Primaz containment is product tight <br /> IS HSC 25291 (a 2 Seconds containment for UST is tight <br /> 16 CCR 2636 c I All releases in secondarypiping flow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635 1 S ill container M2 <br /> 19 CCR 2635 2 Overfill revention system M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitorin &2°containment <br /> 21 HSC 25291 (e) Water in 20 containment anal ed& ro erl dis osed of <br /> 22 CCR 2650 Recordin re ortin of unauthorized releases Ml <br /> 23 CCR 2715 Desi ated O erator: a)Statement from UST owner; c-e)Monthlym inspection; f)Eto ee[rainin <br /> 24 CCR 2638 a Annual monitorin 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(0 4) Annual line ti htness test Ml <br /> 28 CCR 2661 Re air for tank/ i in has had ti htness test M2 <br /> 29 CCR 2643(e Biennial ti htness test of avit i in ( re-Januar1, 1984 <br /> 30 CCR 2643 d Triennial line[est for conventional suction pi-in re-Januar I, 1984 MI <br /> 3l HSC 25292.5 Double wall s stem located within 1000'of onblic well-ELD <br /> 32 CCR 2661Permit to re air UST—,,+-- <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298 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: <br /> UIC <br /> Septic syst= <br /> RECEIVED BY: ❑Serves 220 people/day <br /> TITLE: ❑Receives other than sanitary waste <br /> Other disposal methods: <br /> ❑Dry wells/French Drains <br /> EHD 23-02 <br /> 1/3/07 <br />