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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.sigov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Vji►J K �N� r S4� l iJ -7—,/-eu&, <br />Designated O erator: <br />SuLlu b<.Un'f .I2 <br />Dole: <br />Inspe tion Do <br />lZ,l216-7 <br />Facility address:UST <br />s <br />I I KcP �,� 1_� I Lab <br /># <br />P oduet <br />! '6_-7],to <br />Facility Contact: Title: Phone: <br />AS -Y66 <br />'. <br />'. <br />onit,orr ng P 11:' <br />4 (' <br />Piping system: <br />ressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />echanical ❑ Audible/visual <br />Inspection type:Vtolations: <br />outine onitoring Certification ❑ Installation ❑ Other: <br />M I-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATIONS) HSC=California Health & Safety Code;'CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />I <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b) & c <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 6 <br />Monitoring Program(Monitoring & Response Plan) is current and approved by the local agency. <br />6 <br />CCR 2712 i) <br />Monitoring Ian is onsite. <br />7 <br />CCR 2712 6 <br />Maintenance & monitoring records <br />Ml <br />8 <br />CCR 2643 d <br />Daily monitoring of suction piping (pre -January, I, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />Ml) <br />I I <br />CCR 2630 d) <br />UST system monitoring equipment is properly located to detect a leak <br />M 1 <br />12 <br />HSC 25291 b) <br />UST system monitoring equipment isoperational <br />(M2) <br />13 <br />CCR 2636 l <br />Continuous monitoring system for underground piping & UDC is present <br />Ml <br />14 <br />CCR 2631 a <br />Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 <br />HSC 25291 t <br />Line leak detecto s) are installed <br />M I <br />18 <br />CCR 2635 (b)(1) <br />Sill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitorin & 20 containment <br />21 <br />HSC 25291 (e) <br />20 containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recordin a ortin of unauthorized releases <br />M1) <br />23 <br />CCR 2715 <br />a ed erator: (a) Statement from UST owner; (c -e) Monthly inspection; (t) Employee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 a) <br />Annual line leak detector test <br />(M1) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 (1 )(4) <br />Annual line ti htness test <br />M1) <br />28 <br />CCR 2661 t) <br />Repair for taZpiping has had tightness test <br />(M2) <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity pipingre-Janus I, 1984 <br />30 <br />CCR 2643 d) <br />Triennial line test for conventional suction piping (re -Janus 1, 1984) <br />(M 1) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 c) <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 a <br />Illegal abandonment of UST system <br />38 <br />Other: <br />E <br />INSPECTOR: <br />V ai <br />PHONE: Q <br />ZQl! _ D <br />L D <br />UIC <br />Se tic s stc <br />— Serves>__ eople/day <br />—Receives othir-lk.sanitar waste <br />Other disposal methods: <br />wells/French Draii <br />RF( E[N EA BY: <br />< " <br />TITLE: <br />EHD 23-02-002 REV 05/07 <br />