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'O Pp.0 i(fCO. <br />2 .G <br />/ <br />cq<1FO17 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />• SAN JOAQUIN COUNTY • <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Facility name: <br />`1 -Chu <br />Designated Operator: <br />Ian1 Mo"(V�b <br />Inspection Date: <br />l t 1 job <br />Facility address: <br />UST # <br />�"Product <br />Facility Contact: Title: Phone: <br />-T(✓`L�0 GILL ©PE12/IM2 a?a-) `13c1-067 <br />/ <br />Monitoring Panel: <br />� r_ a j"b <br />Piping system: <br />;Pressurized ❑ Suction ❑ Gravi <br />Oveerrfill prevention: <br />LvYRrtechanical U Audibletvisual <br />Inspection type:-- // <br />M.4(outine [14nitorin <br />Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATIONS) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V R <br />V <br />V=Violation; RV=Re eat Violation <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 6 & 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 <br />Maintenance & monitoring records (MI) <br />8 <br />CCR2643 d <br />Daily monitoring of suction piping (pre -January, 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 Ml <br />11 <br />CCR 2630 (d) <br />UST system monitoringequipment is properly located to detect a leak Ml <br />12 <br />HSC 25291 b <br />UST s stem monitoring equipment isoperational M2 <br />13 <br />CCR 2636 1) <br />Continuous monitoring system for underground piping & UDC is present (MI) <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 detectors are installed Ml) <br />18 <br />CCR 2635 1 <br />Spill container M2 <br />19 <br />CCR 2635 2 <br />Overfill preventionsystem (M2 <br />20 <br />CCR 2636 (a) <br />Conventional suction pipinE shall have continuous monitoring & 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases MI <br />23 <br />CCR 2715 <br />Designated Operator: a Statement from UST owner; (c -c) Monthly inspection; f) Employee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test (Ml) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />28 <br />CCR 2636 1)(4) <br />CCR 2661 <br />Annual line tightness test MI) <br />Repair for tank/piping has had tightness test M2 <br />29 <br />30 <br />CCR 2643 e) <br />CCR 2643 d <br />Biennial tightness test of gravity piping(re-Januar1, 1984 <br />Triennial line test for conventional suction piping (prc-January1, 1984 MI <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 <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 />EHD INSPECTOR: <br />i V <br />PHONE: <br />_ <br />[ic system: <br />Septic <br />❑ Serves 220 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />❑ wells/French Drains <br />RECEIVED BY: / <br />TITLE ',<^ <br />iVY�_ <br />EHD 23-02 <br />1/3/07 <br />