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SAN JOAQUIN COUNTY <br />OINVIRONMENTAL HEALTH DEPARTMENT to <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (249) 468-3433 Weh: www.sjgov.orjz/eh <br />i11Vn17.141:ROiTNn STORAGF. TANK (USTI PROGRAM INSPECTION REPORT <br />Facility name: =s <br />_ <br />Designated Oerator: <br />T©Yt Ili� � <br />Inspection Bate: <br />1 N C® <br />U N -r tZ Ag �( 0 IJ <br />f <br />Facility address: /�� ( <br />EI" t ,4, pV '_'"'J Lo� i <br />UST # <br />Product <br />Facility Contact: _ <br />Title: Phone: <br />d zt�-�G3 <br />_SA0t) <br />Monitorin anel: <br />Piping system: <br />Overfill prevention: <br />p <br />V 11IT <br />W 3 <br />P essurized ❑ suction ❑ Gravity <br />Xmechanical ❑ Audible/visual <br />Inspection type: <br />Violations: <br />Routine <br />Monitoring Certification U Installation ❑ Other: <br />❑ M 1-RDetect ❑ M2-RPrev ❑ M-3 Both <br />VIOLATION(S) HSC—California Health & Safety Code; CCR=California Code of Regulations V R <br /># <br />Code Section <br />V <br />V=Violation; RV—Repeat Violation <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test erformed <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 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records (MI) <br />8 <br />CCR 2643 (d) <br />Dai!y monitoring of suction pipinE ( re -J uary, 1, 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 MI <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak (M1 <br />12 <br />HSC 25291 b) <br />UST system monitoring equipment isoperational h'I2) <br />13 <br />CCR 2636 (1) <br />Continuous monitoring system for underground piping & UDC is present M1 <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 ( <br />Line leak detector(s) are installed M1) <br />18 <br />CCR 2635 (b)(1) <br />Spill container (M2) <br />19 <br />CCR 2635 (b)(2) <br />i Overfill prevention system NI2 <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitorin & 2° containment <br />21 <br />HSC 25291 (c) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recoirding/reporting of nauthorized releases N11 <br />23 <br />CCR 2715 <br />Designated O erator (a) tatement from UST owner; (c -e) Monthly ins ection; (f) Employee training <br />24 <br />CCR 263$ a) <br />Annual monitoring ce ification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test (MI) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 (4) <br />Annual line ti htness test (NI l ) <br />28 <br />CCR 2661 (0_ <br />Repair for tank/piping has had tightness test (M2) <br />29 <br />CCR 2643 e) <br />Biennial tightness test of gravity pitingre-Janus 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction fin (re -Januar 1, 1984)(Nit) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' ofpublic well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />1 HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 <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 />leak detection devices <br />37 <br />HSC 2529$ a) <br />—Disabling <br />11legal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTOR: PHONE: UIC <br />ry V L/68 [� %� (,� S is s stem: <br />'/ <br />V <br />?20 people/day <br />RECEIVED BY: <br />TITLE: 1 Receive er than sanitary waste <br />Other dis osal ins: <br />L. Dry we]WHench rains <br />FUn ?z_n7-007 <br />