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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENI%w <br /> 600ast Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection <br /> D444 <br /> Facility address: <br /> pajddress: �— r- UST# - z <br /> 2 il / J I V A } OS� Product IT I/ <br /> Facility Contact: Title: Phone: et L <br /> t20�2► A WJ Q 61r. A./V' GIL11 -8 61 q11-1 <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> Gopi ressurized ❑Suction ❑Gravity echanical ❑Audible/visual <br /> Inspection type: Violations: <br /> outine Monitoring Certification ❑Installation ❑Other: ❑Mt-RDelect ❑M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V=Violation; RV=Re eat Violation V <br /> 1 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 Fac lity and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b Monitoring Program(Monitoring&Response Plan is current and approved by the local agency. <br /> 6 CCR 2712 i Monitoring Ian is onsite. <br /> 7 x CCR 2712 b Maintenance&monitoring records M1 <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 (M1) <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak M1 <br /> 12 HSC 25291 b UST system monitoringequipment isoperational (M1) <br /> 13 CCR 2636 1 Continuous monitorin system for underground piping&UDC is present M1 <br /> 14 CCR 2631 a Primary containment is product fight <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 1 HSC 25291 Line leak detectors are installed M7 <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&20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recordingtreporting of unauthorized releases M7 <br /> 23 CCR 2715 <br /> Designated O erator: a tatement from UST owner; c-e onthl inspection; m to ee trainin <br /> 24 CCR 2638 a Annual monitorina certification <br /> 25 CCR 2638 a Annual line leak detector test M1 <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test M1 <br /> 28 CCR 2661 Repair for tank/piping has had tightness test (11112 <br /> 29 CCR 2643 a Biennial tightness test of gravity piping(pre-January 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 Disabling leak detection devices <br /> a 9 2 <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other. <br /> EHD IN PECTOR: PHONE: J/'' UIC <br /> �� L �1� 2D`1 �66—c18�v �l� es�20 le da <br /> RECEIVED B TITLE: ❑Recei other than sanitaryvraste <br /> Other dis al ods: <br /> r A_ ❑D vrells/Frenc ins <br /> EHD 23-02-002 REV 8108 <br />