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1 <br /> SAN JOAQUIN COUNTY 41 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,California 95202-3029 <br /> t Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> --Linap� 414.4va (/'."' 3(DI,)9 <br /> f <br /> Facility address: UST# ' <br /> .7 <br /> l�tf► �� <br /> Product <br /> Facility Contact: Titic: Phcooiw , <br /> 6A f l N►-tr D — FSO� / <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> ❑Pressurized uciion ❑Gravit ,�Mechanieal ❑Audible/visual <br /> Inspection type: Violations: <br /> outine ❑MonitoringCertification ❑Installation ❑Other: !M I-RDetect ❑M2-RPrev �M-3 Both <br /> VIOLATION(S) HSC-California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section <br /> V=Violation;RV=Re eat Violation V <br /> I HSC 25284 Permit to operate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 b)& c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b Monitoring Pro ram(Monitoring&Res onse Plan)is current and a2proved by the local agency. <br /> 6 CCR 2712 i) Monitoring plan is onsite. <br /> 7 CCR 2712 b Maintenance&monitoring records M1) <br /> 8 CCR 2643 d) Daily monitoring of suction [ in ( re-Janus , 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 (M1) <br /> I I CCR 2630 d UST system monitoring a ui ment is pro2erly located to detect a leak M1) <br /> 12 HSC 25291 b) UST system monitoring equipment iso erational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present Ml) <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 secondary pipingflow to a collection sum <br /> 17 HSC 25291 f Line leak detector(s)are installed (M 1) <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 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of eases (M 1) <br /> 23 CCR 2715 Designated O orator: a)Statement from UST owner; (c-e)Month!y ins action- 0 Employee trainin <br /> 24 CCR 2638 a) Annual monitorin certification <br /> 25 CCR 2638 a) Annual line leak detector test (M 1) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (M1) <br /> 28 CCR 2661 t) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e) Biennial tightness test of gravity piping re-Janus 1, 1984) <br /> 30 CCR 2643 d) Triennial line test for conventional suction piping( re-Janus I, 1984) M1) <br /> 31 1 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 monitorings stem <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 2529$ a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECT' RHONE: U1(' <br /> pz�� Septic system: <br /> 444 Q -Serves>_20 people/day <br /> RECEIVED BY �� TITLE: - Receives other than sanitary waste <br /> Other disposal methods: <br /> �� b ✓ '� - Dry wells/French trains <br /> EHD 23-02-002 REV 05/07 <br />