Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ��,,// <br /> 304 East Weber Avenue,3`d Floor,Stockton,CA 95202708 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sipov.org/eh <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> L&Lws" N1AR- eTVUAc.k, f}tNG1sro�) 2-13 0� <br /> Facility address: UST# ( Z.— <br /> �1�//� /� ��p,Q.-p/� � � ,ACJ <br /> 1 D�1 W• ter'`r—I�1` W'T 1 Product 4 a <br /> Facility Contact: Title: Phone: <br /> (Lha.D t•I G R.rc�R 5a. <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> � <br /> t (p C/✓tL Pressurized ❑Suction ❑Gravity Mechanical 11Audible/visual <br /> Inspection type: iodations: <br /> Routine ❑Monitoring Certification ❑Installation ❑Other: MI-RDetect M2-RPrev M-3 Both <br /> VIOLATION(S) HSC=California 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 Secondary containment test performed <br /> 3 CCR 2711 6 & 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 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 6 Maintenance&monitoring records Ml <br /> 8 CCR 2643 d Daily monitoring of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST s stem isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present M1 V <br /> I 1 CCR 2630 d UST system monitorin equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 UST system monitoring equipment isoperational M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&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 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 1 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; c-c)Monthly ins ectiom(f)Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test Ml <br /> 28 CCR 2661 Repair for tank/piping has had tightness test (M2) <br /> 29 1 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1, 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 ) Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Idle al abandonment of UST s stem <br /> 38 Other: NS<- 25�- 3 NI rant OF TA/.1� SuIST>r� �1 o�R OR- LAR <br /> EHD IN�S"P'ECTOR: PHONE: �/ UIC <br /> yyt.u.s� WA e(bg-3�{`f'6 Septic system: <br /> 7 Serves>_20 people/day <br /> RECEIVED BY: TITLE: ❑Receives other than sanitary waste <br /> Other disposal methods: <br /> ❑Dry wells/Frmch Drains <br /> F"HD 23-02-002 <br />