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SAN JOAQUIN COUNTY <br /> `.ervVIRONMENTAL HEALTH DEPARTMEN1, ./ <br /> 600 East 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: t� esat d Operator: Inspection <br /> GQ!(�{-,D K 41 11-0gox �fD OL/' ✓Z Date: <br /> T " 356 6GI 09 <br /> Facility address: UST# <br /> C VK l®n' 5� , Product <br /> Facility Contact: Title: Phone: <br /> R (o <br /> Monitoring Panel: <br /> torPiping system: Overfill prevention: <br /> V.2 �l, ^ 350 Pressurized ❑Suction Gravity <br /> IgMscal ElAudible/visual <br /> Inspection type: Violations: <br /> outine iWmonitoring Certificabon ❑Installation ❑Other: -RDetect ❑M2-RPrev 0 M-3 Both <br /> # Code Section VIOLATION(S) HSC=California Health&Safety Code;CC =California Code of Regulations V R <br /> 1 HSC 25284 Permit too -rate V=Violation;RV=Re eat Violation V <br /> 2 CCR 2637 Seconds containment test performed t cl <br /> 3 CCR 2711 b 8 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 Monitorin Program(Monitoring & Response Plan is current and approved by the local agency. <br /> 6 CCR 2712 i Monitoring Ian is onsite. <br /> 7 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 s stem is o -rated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitorin s stem is present M1 <br /> 11 CCR 2630 d UST s stem monitorin equipment is properly located to detect a leak M1 <br /> 12 HSC 25291 b UST s stem monitorin a ui ment iso -rational M1 <br /> 13 CCR 2636 1 Continuous monitoring system for unde round piping&UDC is resent Mt <br /> 14 CCR 2631 a Prima containment is product tiht <br /> 15 HSC 25291 (a)(2) Seconds 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) bipill container M2 <br /> 19 CCR 2635 b 2 Ovefill revention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (-) Water in 20 containment analyzed& ro ri disposed of <br /> 22 CCR 2650 Recording/re orcin of unauthorized releases M1 <br /> 23 CCR 2715 Desi nated O erator: a Statement f m UST owner; (C-gl Monthly inspection;fyEmployee training <br /> 24 CCR 2638 a Annual monitoring certification 5IWIOV <br /> 25 CCR 2638 a Annual line leak detector test M7 <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test M7 <br /> 28 CCR 2661 Repair for tank/piping has had tightness test 11012 <br /> 29 CCR 2643 a Biennial ti htness test of gravitypiping(pre-January1, 1984 <br /> 30 CCR 2643 d Triennial line test for convent onal suction pi in ( re Janua 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 s stem <br /> 36 HSC 25299 Disabling leak detection devices <br /> a 9 2 <br /> 37 HSC 25298 a III al abandonment of UST system <br /> 38 Other. <br /> EH 1 SP TO PHONE: <br /> UIC&1573 -7 Septic system* <br /> ENED ❑Serves>-20 people/day <br /> TITLE: ❑Receives other than sanitary waste <br /> Other disoosal methods, <br /> ❑Dry wells/French Drains <br /> EHD 23-02-002 REV 8108 <br />