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SAN JOAQUIN COUNTY <br /> -'NVIRONMENTAL HEALTH DEPARTMENT./ <br /> 304�''Ast Weber Avenue, 3rd Floor, Stockton, CA 9520 -2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sJ og v oc //eehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Dale: <br /> Facility address: Yk usT# 3 j1 � � � -' <br /> 2 � C Product Q <br /> Facility Contact: Title: Phone: <br /> G` lo(-SSS <br /> Monitoring Panel: _—Friging system: Jy19 Overfill prevention: <br /> 7 ressurized ❑Suction ❑Gravity ❑Mechanical udible/visual <br /> Inspection type: Violations: <br /> N�Rounne %6lorinciring Certification ❑Installation ❑Other: ❑Ml-RDetect U M2-RPrev ❑M-3 Both <br /> Code Section <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # <br /> V=Violation;RV=Re eat Violation V <br /> I 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 system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present Ml <br /> I 1 CCR 2630 d UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 b UST system monitoring equipment isoperational M2) <br /> 13 CCR 2636(f)(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 ti ht <br /> 16 CCR 2636(c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 1 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 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 Recordin reporting of unauthorized releases M1 <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 (Ml <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 (4) Annual line fi htness test Ml <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2 <br /> 29 CCR 2643 e Biennial tightness test of gravity pipingre-Januar1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jams 1, 1984) (MI) <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 /> 1§ H <br /> 2529998(a)(9) Disablingleak detection devices <br /> 37 HSC 252a) Illegal abandonment of UST system <br /> 38 Other: <br /> E INS P CTO PHONE: <br /> z / Septic system: <br /> �( _Serves>_20 ay <br /> ECEyyED BY: TITLE: ';Re other than sanitary waste <br /> is osat methods: <br /> wells/French Drains <br /> EHD 23-02-002 <br />