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• SAN JOAQUIN COUNTY • <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siciov.org/ehd/unitiii.htmi <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Exp.date: Inspection <br /> Date: <br /> �� rdy� (� ,Iry13ag 1/11 <br /> 1n �►o 6 V214 <br /> Facility address: .,r (� UST# <br /> � 619 ` 5 � Product <br /> Facility contact; Title• Phone: S , <br /> B j /YIe rn r -47 <br /> 6t3l 15 g� 6 .� i" $ <br /> Monitoring panel: Piping system: erfill prevention: <br /> 'r(`j sclo— Ix Pressurized ❑Suction C Gravity ARechanical ❑Audible/visual <br /> Inspection type: yViiolations: <br /> Routine onitoring Certification ❑Installation 11y� <br /> Other: )qM1-RDetect ❑M2-RPrev ❑M-3 Both <br /> On site Technician's Name: ICC Service Technician.Dat 1 Manufacturer's Training: <br /> 2�nv <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=California Code of Regulations V R <br /> V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 No permit to operate <br /> 2 CCR 2637 Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test notification not <br /> provided to the EHD at least 48 hours prior to conductin the test 9-11-09 <br /> 3 CCR 2711(b)&(c) Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form) <br /> 4 -HSC 25292.2 Current financial responsibility documents not on file with the EHDIA.4 Apgfjj;� Ot-30-Qg <br /> 5 •CCR 2632(b) Monitoring Program(Monitoring&Response Plan)is not current or approved by the local agency <br /> 6 CCR 2712(1) Monitoring and/or response plan is not onsite <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6%years, (M1) <br /> written performance claims pertaining to release detection systems for 5 years,or records of repairs,linings qqd <br /> upgrades for the life of the tank. Monitoring records include:(1)date and time of all monitoring or sampling�(2,y <br /> 7 •CCR 2712(b) monitoring equipment calibration and maintenance records;(3)results of any visual observations;(4)results of <br /> sample analysis performed a lab or in the field;(5)logs of all readings of gauges or other monitoring equipment, <br /> round water elevations,or other test results; 6 results of inventory readings and reconciliations. <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-January 1, 1984)not performed <br /> 9 HSC 25292.1 UST system is not operated to prevent unauthorized release,including spills and overfills <br /> 10 1 CCR 2632(c)(2) Monitoring system is not present in the interstitial space of a double walled UST/piping (M1) <br /> 11 1 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity (Mt) <br /> 12 •HSC 25291(b) UST system monitoring equipment is not operational (Mt) <br /> 13 1 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping&UDC that to activates an (M1) <br /> audible and visual alarm or stops flow of product at the dispenser when it detects a leak <br /> 14 CCR 2631(a) Primary containment is not product tight <br /> 15 HSC 25291(a)(2) Secondary containment for UST system is not tight <br /> 16 " CCR 2636(c)(1) All releases in secondary piping do not flow to a collection sump <br /> 17 HSC 25291(f) Line leak detector(s)not installed (Mt) <br /> 18 CCR 2635(b)(1) Spill container not installed,failed to contain a minimum capacity of five gallons,or failed to provide (M2) <br /> a means to keep the spill container empty <br /> 19 CCR 2635(b)(2) Overfill prevention system was overridden or failed to meet overfill requirements in this section (M2) <br /> 20 CCR 2636(a) Failed to have secondary containment or continuous monitoring(includes conventional suction piping) <br /> 21 HSC 25291(e) Water in 20 containment not removed,analyzed&properly disposed of <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight hours (M7) <br /> 22 CCR 2650 was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of <br /> roduct was not reported to the EHD within 24 hours <br /> 23a CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br /> 231b CCR 2715(b) Designated operator did not possess a current ICC UST System Operator certification <br /> Designated operator monthly inspectic)(1)alarms not documented;(c)(2-4)spill containers,UDCs,and <br /> 23c CCR 2715(c),(d),(e) sumps(if necessary)not inspected; c)(5 required test dates not checked or noted;(c)(6)employee training not <br /> venfed;(d)(e)month) ins ection re s not maintained on site for at least 12 months <br /> 23d CCR 2715(f) Designated operator employee training:(1)not performed;(2)not current for at least one employee on site;(3) <br /> to not kept <br /> EHD INSP CTOR: RECENED Y TITLE: <br /> EHD 23-02-002 REV 12109 Page 1 UST INSPECTION REPORT <br />