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SAN JOAQUIN COUNTY <br /> VIRONMENTAL HEALTH DEPARTMENT <br /> - <br /> 304 EWeber Avenue, 3"Floor, Stockton,CA 9520 08 <br /> as <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web: www.sigov.org/eh <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Daje: <br /> w i ati va r� wicr�s 1p0 VVIe f¢i�racev� lei zT ak <br /> Facility ad rens: UST# <br /> 35 S L'V - $� Product sse <br /> Facility Contact: Title: hone: <br /> - <br /> Mpnitori g P el: Piping system: Overfill prevention: <br /> (,Q N Pressurized ❑Suction D Gravity Mechanical ❑Audible/visual <br /> Inspection type: Violations: <br /> Routine R Monitoring Certification D installation D Other: D MI-RDetect D M2-RPrev D M-3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Second containment lest performed <br /> 3 CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD(Facilityand tank form <br /> 4 HSC 25292.2 Certification offinancialresponsibilityand 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&monitoringrecords Ml <br /> 8 CCR 2643 d).. Dail monitoringof suction piping(pre-January, I, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release _ <br /> '.10 CCR 2632 c 2 UST monitoringsystem is. resent Ml <br /> 11 CCR 2630 d UST system monitorin equipment is properly located to detect a leak MI <br /> 12 HSC 25291 UST s .stem monitoring equipment is operational erational M2 <br /> 13 CCR 2636 1 RTelcawes <br /> us monitoring system for underground piping&UDC is resent MI <br /> 14 CCR 2631 a Primary containment is roducttight <br /> 15 HSC 25291 (a)(2) containment for UST is tight <br /> 16 CCR 2636(c)(1) es in second i in 'flow to acollection sum17 HSC 25291 detectors are installed MI18 CCR2635 b 1 tainer (M219 CCR 2635 b 2 revention s stem M2 <br /> 20 CCR 2636(a) onalsuction p piping shall have continuous monitorin &20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 265 Recordin re p o rtin of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator:(a Statement from UST owner; (c-c)Monthlyinspection;( Employee training <br /> 24 CCR 2638 a Annual monitoringcertification <br /> 25 CCR 2638 a) Annual line leak detector test M] <br /> 26 1 HSC 25284.2 Annuals ill comamment testing <br /> 27 CCR 2636 4 Annual line tight ess test MI <br /> 28 _CCR 2661 (f) Repair for tank/pipinghas had tightness test '(M2) <br /> 29 CCR 2643 a Biennial tightness test of gravitypiping re-Janua 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction p piping 7e-Jana 1, 1984 (MI) <br /> 31 HSC 25292.5 Double walls stem located within 1000'ofpublic well-ELD <br /> 32 CCR 2661 Permit to repairUST system <br /> 33 HSC 25286 a Permit to alter monitoringsystem <br /> 34 HSC 25298 Permit to temporarily.close.UST system <br /> stem <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299(a)(9) Disablingleak detection devices <br /> 37 HSC 25298(a) Illegal abandonment of UST system " <br /> 38 1 Other. <br /> END INSPECTOR: PHONE: UIC <br /> Septic system: <br /> l li ❑Serves 220 people/day <br /> RECIVED BY: TITLE: 0 Receives other than sanitary waste <br /> Other disposal methods: <br /> / <br /> (OC{G Dry wells/French Drains <br /> EHD 23-02-002 <br />