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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Kl 304 East Weber Avenue, 3d Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> �IFORN <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Designated Operator: I Inspection Date: <br /> Facility name: <br /> -r U �it '�ulkt�Y S 18 07 <br /> UST# sr , <br /> gInspec"on <br /> ss: , <br /> r Product <br /> ct: Title: Phone: <br /> anel: Pipingsystem: Overall prevention: <br /> Pssurized ❑Suction ❑G avi Mechanical ❑Audible/visual <br /> Violations: <br /> pe: Monitorin Certification ❑Installation ❑Other: ❑Ml-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V <br /> V=Violation;RV=Re at Violation <br /> 1 %HSC25292.2 <br /> Permit tooverate <br /> 2 Second containment test performed <br /> 3 & c Current Unified Program Consolidated Forms on file with EHD(Facilityand tank form <br /> 4 Certification of financial res onsibili and CFO letter <br /> 5 c 2 D Monitorin &res onse Inn is current and filed wih i Monitoring&response plan is onsite t <br /> 7 CCR 2712 Maintenance&monitorin records <br /> 8 i CCR 2643 d Dail monitorin of suction i in re-Jana , 11 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release Ml <br /> 10 CCR 2632(c)(2) UST monitoringsystem is resent MI <br /> 1 1 CCR 2630 d UST system monitoring equipment is properly located to detect a leak <br /> 12 HSC 25291 UST system monitorinS equipment iso rational M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground pipmE&UDC is present Ml <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 pi2ingflow to a collection sump <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635 1 Spill container 11,12 <br /> 19 CCR 2635 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/reportingof unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator: a Statement from UST owner; (c-e)Monthly inspectionitEmployee 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 testing <br /> 27 CCR 2636 4) Annual line tightness test MI <br /> 28 CCR 2661 Re air for tank/piping has had tightness test M2 <br /> 29 CCR 2643 e) Biennial tightness test of gravity pipingre-Janaary 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping- re-Jana 1, 1984 Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000'ofpublic 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 1 HSC 25298 c Permit to close UST system <br /> 36 1 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Ille al abandonment of UST system <br /> 38 Other: - U[C <br /> E INSP 'TOR: PHONE: _ <br /> � .n (� eotic system: <br /> a OV W U� ❑Serves 220 people/day <br /> R C hBY TITLE: ❑Receives other than sanitary waste <br /> A.L �`J I-j Other disposal methds: <br /> o <br /> (-- ❑Dry wells/French Drains <br /> EHD 23-02 <br /> 1/3/07 <br />