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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,Yet Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj ov.or /Q ehd <br /> UNDERGROUND STORAGE TANK ST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> t*tW f N14"C-WLA{E. ({(t�GSlnnl 'L-13-06 <br /> Facility address: UST N ( 2 <br /> l-1�9 w• C IIPr(�T�2 WF!`� <br /> Product] <br /> Facility Contact: Title: Phone: <br /> RAUPto GaC-� Sa. <br /> Mo'nittorriin�g Panel: Piping system: Overfill prevention: <br /> (t,..AA(D �A^C, Pressurized ❑Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: - Violations: <br /> Routine ❑Monitoring Certification ❑Installation ❑Other: MI-RDetect M2-RPrev M-3 Both <br /> # Code Section VIOLATIONS) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V=Violation;RV=Re eat Violation V <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test Performed <br /> 3 1 CCK 2711 `o)&(c) Current Unified Program C;onsoiidated Forms on Sic 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 MI <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present 1 V <br /> 1 I CCR 2630 d UST system monitoring equipment is properly located to detect a leak (MI) <br /> 12 HSC 25291 UST system monitoring equipment is operational M2 <br /> 13 1 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present D11) <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 piping flow to a collection sum <br /> 17 HSC 25291 Line leak detector(s)are installed M7 <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&2°containment <br /> 21 HSC 25291 (c) Water in 20 containment analyzed&properly disposed of <br /> 22 1 CCR 2650 Recordin /reporting of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator: (a)Statement from UST owner; (c-e)Monthly inspection;(f)Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (,MI <br /> 26 HSC 252842 Annuals ill containment testing <br /> 27 CCR 26364 <br /> Annual Zinc ti htness test MI <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e Biennial tightness test ofgravity piping( re-Januar 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jana 1, 1984) (MI) <br /> 31 1 HSC 25292.5 Double wall system 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 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Ille al abandonment of UST system <br /> 38 Other: H$�- 25'Lois MIrets OE ThwwK su(5reok W4 Ov.mlt:i2 Cie. tf <br /> EHD INSPE(TOR: PHONE: UIC <br /> W L ub g_z�y�� Septic system" <br /> ❑Serves 220 people/day <br /> RECEIVED BY: TITLE: 11 Receives other than sanitary waste <br /> Other disposal methods" <br /> ❑Dry wells/French Drains <br /> EHD 23-02-002 <br />