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SAN JOAQUIN COUNTY - <br /> ,N V IRON MENTAL HEALTH DEPARTMENT <br /> 304 E*Weber Avenue, 3"Floor, Stockton,CA 9520'-1708 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www sisov orgL <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspe tion Date: <br /> Facility address: UST# (� <br /> MA/ cS - �/ Product -! <br /> J <br /> Facility Contacn Title: Phone: <br /> Lv- IG r: ,u,P. <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> Q7 Pressurized ❑Suction ❑Oravit Mechanical ElAudible/visual <br /> Inspection type:�itViolations: <br /> Routine VVIonitonng Certification ❑Installation ❑Other: ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Second containment test performed <br /> 3 <br /> FCCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD(Facilityand 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&monitoringrecords 1M(M2) <br /> 8 CCR 2643(d) Dail monitoringof suction piping re-Janu , 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoringsystem is resent (MI) <br /> I I CCR 2630(d UST system monitoringequipment is properly located to detect a leak <br /> 12 HSC 25291 6 UST system monitoringequipment isoperational13 CCR 2636 1 Continuous monitorin s stem for under round i in &UDC is resent <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 Line leak detectors are installed Ml <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 Recording/reporting of unauthorized releases M1 <br /> 23 1 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection; Employee 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 testi n <br /> 27 CCR 2636 4 Annual line tightness test Ml <br /> 28 CCR 2661 Repair for tank/7piping has had tightness test (M2 <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Januar 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Janu 1, 1984) (MI) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 1 CCR 2661 Permit toreair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 ) Permit to temporarily close UST system <br /> 35 HSC 25298 e 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 IN PECTOR: PHONE: C <br /> ,,. A - l� LA _ 41 gel <br /> Scenes tem: <br /> Y�.t -LG 7J 7C"-.I people/day <br /> RECEIVED TITLE: -jrRece other than sanitary waste <br /> Othedis methods: <br /> - wells tench Drains <br /> F.HD 23-02-002 <br />