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SAN JOAQUIN COUNTY 1.00 �tNVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www sieov.or nnr d iD A M 7NCPT.CTION REPORT EHD 23-02-002 REV 05/07 UNDERGROUNDIyVK�Aa�ra o n Date:Designated Facility name: Oprator• Sbi6h% �1/'*V7 lti/0-7 USAv^ / if UST# - Facility Z duc Prod 2adddress: LOS Facility Contact: Title: Phone: (/ S ti+p wc�01 IrLh Ga�6 . SSq S — a MonitoAn P nel. Piping system: Ev,J V N.1Iw Overfill prevention: f O Pytorized ❑ Suction ❑ (havity ❑ Mechanical Audible/visual Violations: Inspection type: Monitorin Certification [IInstallation ❑ Other: C1 Ml-RDctect ❑ M2-RPrev M-3 Both outine VIOLATIONS) HSC=California Health & Safety Code; CCR=California Code of Regulations V R V #W22 ction V=Violation; RV=R t Violation 1 Permit too to 2 Second containment test performed 3 b & c Current Unified Program Consolidated Fortes on file with EHD (Facilityand tank form 4 2 Certification of financial responsibility and CFO letter 5 b Monitorin Pro am Monitorin & Res onse Plan is current and a roved b the local a enc . 6 i Monitorin Ian is onsite. 7 CCR 2712 b Maintenance & monitoring records Ml 8 CCR 2643 d Daily monitoring of suction piping (pre -January, I, 1984) 9 HSC 25292.1 UST system is operated to prevent unauthorized release 10 CCR 2632 (c)(2) UST monitoring system is present (Ml) l I CCR 2630 d UST s stem monitoring equipment is properly located to detect a leak Ml 12 HSC 25291 6 UST system monitoringequipment isoperational M2) 13 CCR 2636 1 Continuous monitoringsystem for underground piping & UDC is resent Ml) 14 CCR 2631 a Primary containment is product tight 15 HSC 25291 (a)(2) Secondary containment for UST is tight 16 CCR 2636 (c)(1) All releases in secondary piping flow to a collection sum 17 HSC 25291 Line leak detecto s are installed Ml) 18 CCR 2635 (b)(1) S ill container (M2 19 CCR 2635 (b)(2) Overfill prcverition system M2 20 CCR 2636 (a) Conventional suction Eiping shall have continuous monitoring & 20 containment 21 HSC 25291 (e) 'n 20 containment analyzed & properly disposed of 22 CCR 2650 ecordin ortin of unauthorized releases Ml 23 CCR 2715 Designated Operator: (a Statement from UST owner, c -e) Monthlyinspection; f) Employee training 24 CCR 2638 a Annual monitoringcertification 25 CCR 2638 a Annual line leak detector test (Ml) 26 HSC 25284.2 Annuals ill containment testing 27 CCR 2636 4 Annual line tightness test (MI) 28 CCR 2661 Repair for tank/pipinghas had tightness test (M2) 29 CCR 2643 a Biennial tightness test of vi piping re -Janna 1, 1984 30 CCR 2643 d) Triennial line test for conventional suction piping re-Janu 1, 1984) (Mi) 31 HSC 25292.5 Double walls stem located within 1000' of public well-ELD 32 CCR 2661 Permit to air UST system 33 HSC 25286 a Permit to alter monitorings stem 34 HSC 25298 b Permit to tem orarll close UST system 35 C 25298 c Permit to close UST system 36 HSC 25299 (a)(9) Disablingleak detection devices 37 HSC 25298 a Illegal abandonment of UST system 38 Other: EHD NSP 3R- �/ w PHONE: 146 g_ C) e l g UIC S tic stem: q (} (" � � 2 1! �+ S >_20 people/day dis eiv other than sanitary waste REC ED B TITLE: �V � Other dis u7 sal m ods: YY!!//)1 wells/Fren Drains EHD 23-02-002 REV 05/07