Laserfiche WebLink
:i <br />PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name L pi12CtI/i1> <br />Facility Address <br />Facilty Contact C� Title Phone No. 0?0 <br />Program ID# d 917 3 4 3 Number of UST(s) / <br />UST# /Product <br />Overfill Prevention: Audible aWd Visual 11/Qh91_ _Mechanical Al c7z-9, <br />Suction�C <br />Piping system: Gravity Pressure <br />Monitoring system <br />Automatic pump shutdown satisfies CCR2636 (g): Yes Y1)0 YL.Y to <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code <br />(HSC) and/or California Code of Regulations (CCR): <br />I_HSC <br />25284 <br />Permit to operate <br />2 <br />HSC 25292.3 <br />Upgrade compliance certificate/sticker <br />3 <br />CCR 2711(b) & (c) <br />HSC 25292.2 <br />Current State Form A & B <br />Certification of financial responsibility and letter from chief financial <br />4 <br />officer <br />5 <br />CCR 2630 (d) <br />Continuous monitoring system for UST system <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary piping flow to a collection sump <br />7 <br />CCR 2636 (a) <br />Secondary containment for piping is waterproof <br />8 <br />CCR 2636 (f)(2) <br />Automatic line leak detector(s) <br />9 <br />CCR 2636 (f)(1) <br />Continuous monitoring system for underground piping <br />10 <br />CCR 2632 (c)(2) <br />Continuous monitoring system for UST <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for UST is tight <br />127 ---CCR <br />2636 (f)(1) <br />Continuous monitoring system for dispenser system <br />13 <br />CCR 2635 (b)(1) <br />Spill container <br />14CCR <br />2635 (b)(2) <br />Overfill prevention system <br />15_CCR <br />2631 (a) <br />Primary containment is product -tight <br />16_HSC <br />25292.1 <br />UST system is operated to prevent unauthorized release <br />if --CCR <br />2650 <br />Recording/reporting unauthorized release <br />18CCR <br />2632 (d) <br />Monitoring and response plan <br />19_ <br />CCR 2712 (i) <br />Monitoring and response plan is on site <br />20 <br />CCR 2712 (b) <br />Maintenance and monitoring records <br />21 <br />CCR 2636 (0(4) <br />Annual line tightness test <br />22 <br />CCR 2630 (d) <br />Annual line leak detector test <br />23 <br />CCR 2630 (d) <br />Annual monitoring certification <br />247 --CCR <br />2643 (d) <br />Daily monitoring of suction piping that is not continuously <br />monitored <br />1 of <br />PHS 260 (8/04/00) <br />Date Sempleted (if already completed): SeavKE Cooe: ` PIE: U <br />rvice Co <br />Fee Amount: '' _-)( " i Amount Paid Payment Date O <br />v <br />Payment Type I Invoice 4 Check 0 I Received By: <br />