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DEPARTM T OF ENVIRONMENTAL RESOURCES Siartis�ius County Hazardous Materials <br /> Departrnent of Phone;(209)525-6700 <br /> Environmental Resources INSPECTION REPORT Fax (209)525-6774 <br /> 3800 Cornucopia Way,Suite C CALIFORRI FEN CODE <br /> Modesto,CA 95358 CALIFORNIA CODE OF REGULATIONS <br /> Facility: VAL- J. e <br /> r Upgrade Cert#� Date: I Zy• o -L <br /> Fddress:— l r a, Permit#1Exp:H.,3 � <br /> Inspection: ( )Initial }AnnuaVBiennial ( )Recheck ( )Permit ( )Release <br /> HAZARDOUS MATERIALS DISCLOSURE PROGRAM <br /> Ves No Business Activities Form (Sections CCR 2729.2) <br /> Completed business activities form. (renewal date�J <br /> Business Information (Sections 25504 CCR 2729,2731) <br /> Business owner/operator identification form complete and accurate. <br /> Response Plan Information (Sections 25504,25505, CCR 2731,2732) <br /> Emergency response plans and procedures complete,emergency coordinator information accurate. <br /> Mitigation, prevention,and abatement of hazards-written procedures_ <br /> Employee training program documented:initial and annual refresher. <br /> _ Business plan certified by appropriate person_ <br /> t inventory Information (Sections 25505,25509,25509.3,CCR 2729) <br /> Chemical inventory&chemical description is accurate and complete. <br /> Treatment,disposal,and waste codes reported. <br /> Site/Building Ma (Sections 25504,CCR 2729,2730,2731) <br /> bitelbuilding map is complete and identifies all required areas. <br /> Aboveground Storage Tank (Sections 25270.5(c)) <br /> lank capacity>660 gal or total capacity> 1320 gal.(SPCC required-date completed- <br /> UNDERGROUND STORAGE TANK PROGRAM <br /> �es No Owner/Operator Contract Yes No Double Wall Tanks <br /> UST1acility form _ Daily audio visua alarm check <br /> UST tanks form Dai Monitorin <br /> Financial cert. _ _ ai visualcheck of monitoring system <br /> Release procedure Annual Reports,Tanks (SW&DW) <br /> Written tank monitoring procedureTank tightness test <br /> Certified dispensing meters — Annular space cert, (DW) <br /> SIR Tank monitor(SW&DW) <br /> D-aRy tank and meter readings _ Sump Probe cert.(SW&DW) <br /> Biennial tank test(due ) _ Cathodic protection cert. (SW-date ; <br /> Lined Tanks (SW) Annual Reports, Pipelines (SW&DW) <br /> athodic protection tested every 60 days _ = ea c elector cert. <br /> Cathodic protection at 850mv or greater Pressurized line test <br /> Lining cert. (due______) _ Triennial suction line test(due .... � <br /> Pipeline auto shut-off cert. <br /> OFFICIAL NOTICE <br /> .` 0, <br /> 4'lr'Cf <br /> rXT <br /> OU ARE HE Y DIRECTED TO CORRECT THE DEFICIENCIES LISTED ABOVE WITHIN O DAYS. <br /> INSPECTOR � -,� RECEIVED BY: <br /> -71 (Print) (Signature) <br />