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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT.. <br /> 60(3-ast Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.orglehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> npsirate opyt /n�s,pctio <br /> Facility name: � e ✓� Dal <br /> .� � <br /> U # 0 <br /> UST# <br /> Facility address: <br /> \J�YV`'r^ ' vrn�l rr -Product �/ U <br /> F ility contact: Title: Phone: <br /> Monitors Panel: Piping syste � � I I� Overfill prevention: <br /> Pressurized ❑Suction D Gravityechanical ❑Audible/visual <br /> Inspection typetali. ons: <br /> Routine 0 Monitoring Certification [I Installation ❑Other. 1-ROetect D M2-RPrev ❑M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health 8 Safety Code;CV R=Califomia Code of Regulations V <br /> V=Violation;RV=Re eat Violation <br /> 1 HSC 25284 Permit to o erate <br /> 2 CCR 2637 Seconda containment test nerfinmed <br /> 3 CCR 2711 b & c Current Unified Pro ram 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 Program(Monitoring 8 Response Pian is current and approved b the local a enc . <br /> 6 CCR 2712 i Monitoring Ian is onsite. M1 <br /> 7 CCR 2712 b Maintenance&monitoringrecords <br /> L X <br /> 8 CCR 2643 d Daily monitoring of suction piping (pro-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632 c 2 UST monitoringsystem is resent (M1) <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak M1 <br /> 12 1 HSC 25291 b UST system monitoring equipment isoperational (M1 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping 8 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 secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed (M1 <br /> 18 CCR 2635(b)(1) Spill container (MZ <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring 8 2°containment <br /> 21 1 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releasesM1 <br /> 23 CCR 2715 Designated Operator: a Statement from UST owner; c-e Monthl ins ection; m to ee training <br /> 24 CCR 2638 a Annual monitoring 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/pi in has had tightness test (N12 <br /> 29 CCR 2643 a Biennial tightness test of gravitypiping re-Janua 1, 1984 <br /> 30 1 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 s 2 <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 1 Other: <br /> EHD INSPEC PHONE: � r� <br /> C UIC <br /> l.J Septic system- <br /> ❑serves z20 people/day <br /> RECE D BY• TITLE: D Receives other than sanitary waste <br /> Other disposal methods: <br /> 0 D wells/French Drains <br /> EHO 23-02-002 REV 8108 <br />