Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> VIRONMENTAL HEALTH DEPARTMENT <br /> 304 0 eber.Avenue,3rd Floor, Stockton,CA 95202 08 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name' Designated Operator: Inspech Date: <br /> o f i(I>4J �1 da (P <br /> Facility address: <br /> - Product rl � fG <br /> Facility Co tact: Title: Phone: <br /> � S Gl G X11` lu' � <br /> Monitoring Panel: Piping system:. Overfill prevention: <br /> ILS - 250 ❑Pressurized Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: Violations: <br /> Routine Monitoring Certification ❑Installation ❑Other: ❑M1-RDetect ❑M2-RPrev ❑M-3 Bath <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation;RV=Re eat Violation <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 b &(c) Current Unified Program Consolidated Forms on file with EHD ffacility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and 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&monitoring records (Mi) <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632 c)(2) UST monitoring system is present Ml <br /> I CCR 2630 d UST system monitoring equipment is properl located to detect a leak M1 <br /> 12 HSC 25291 6 UST system monitoring equipment is operational M2) <br /> 13 CCR 2636(0(l) Continuous monitoring system for underground piping&UDC is present M1 <br /> 14 CCR 2631 a Primary containment is product tight <br /> 15 HSC 25291 a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondgg pipingflow to a collection sum <br /> 17 HSC 25291 ( Line leak detectors are installed M1 <br /> 18 CCR 2635(b)(1) Spill container (M2 <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (c) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases M1 <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-c)Monthly ins ectio m to ee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annuals ill containment testis <br /> 27 CCR 2636 (4) Annual line tightness test M1 <br /> 28 CCR 2661 (0 Repair for tan!VpipjnE has had figbtness test (M2) <br /> 29 CCR 2643 e Biennial tightness test of gravity pipinEre-Janus 1, 1984 <br /> 30 CCR 2643 (d) Triennial line test for conventional suction piping(pre-January 1, 1984) (M1 <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONE: UIC <br /> Vt S Septic system= <br /> -1 Serves>tM people/day <br /> RECEIVED SYS T LR: I I Receives other than sanitary waste <br /> Other disposal methods: <br /> wells/French Drains <br /> EHD 23-02-002 <br />