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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 Est Weber Avenue,31d Floor,Stockton,CA 9526 2708 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web: www.sigov.org/chd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM IN�SPECdTION REPORT inspection Date: <br /> Facility name: <br /> � le C3� �rQ7fl C <br /> UST# y �6� �" <br /> Facility address: ' <br /> Product <br /> Facility Contact: Title: Phone: - <br /> lksejo_ S\!�,G <br /> Pi in system: Or fill prevention: <br /> Monitoring Panel: Jq g y [�M chanical ❑Audible/visual <br /> 3 — I�Pressurized ❑Suction ❑Gravit <br /> V' la[ions: <br /> Inspection type: _l ❑Other: Ml-RDetect ❑M2-RPrev [IM-3 Both <br /> S Routine IveMonitoring Certification [I installation V R <br /> # Code Section <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V <br /> V=Violation;RV=Re eat Viol"- <br /> 1 HSC 25284 Permit too crate - <br /> 2 CCR 2637 Second containment test performed <br /> 3 CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial res-onsibilit and CFO letter <br /> 5 CCR 2632 c 2 D Monitorin &response plan is current and filed with the local a enc <br /> `6 CCR 2712(i Monitoring&response 21anisonsite Ml <br /> 7 CCR 2712 b Maintenance&monitoring records <br /> 8 CCR 2643(d Dail Monit^rina of suction mountre-Jeno , 1, 1984 <br /> 9 HSC 25292.1 UST s stem is operated to prevent unauthorized release Ml <br /> 10 CCR 2632 c 2 UST monitorin s stem is resent Ml <br /> it CCR 2630 d UST s stem monitoringequipment is properly located to detect a leak M2 <br /> 12 HSC 25291 UST s tem monitoring a ui ment is operational Ml <br /> 13 CCR 2636 1 Continuous monitorin s stem for underground piping&UDC is resent <br /> 14 CCR 2631 a Primarcontainment is producttight <br /> 15 HSC 25291 a 2 Seconda containment for UST is tight <br /> 16 CCR 2636(c 1 All releases in secondary i ing flow to a collection sump <br /> Ml <br /> 17 HSC 25291 ( Line leak detect-,(,I are installed M2 <br /> -18 CCR 2635(b)(1) S ill container M2 <br /> 19 CCR 2635 b 2 Overfill revention system <br /> 20 CCR 2636(a) Conventional suction pping shall have continuous monitorin &20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly dis osed of Ml <br /> 22 CCR 2650 Recordinit/rCDOrting of unauthorized releases <br /> 23 CCR 2715 Desi nated 0 crater: (a)Statement from UST owner; c-e)Monthly ins ection; f)Employee trainin <br /> -24 CCR263is a Annual monitoring certification Ml <br /> 25 CCR 2638 a) Annual line leak detector test <br /> 26 HSC 25284.2 Annuals ill containmenttestin Ml <br /> 27 CCR 2636( 4 Annual line ti hmess test M2 <br /> 28 CCR 2661 (t) Re air fortank inino has had ti tress test <br /> 29 CCR 2643 e Biennial ti hmess test of avi[ i in re-Janua 1, 1984 <br /> 30 . CCR 2643 d Triennial linetesffor conventionalsuction piping re-Jana 1, 1984 (Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000'ofpub]ic 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 tem oraril close UST system <br /> 35 HSC 25298 c Permit to close UST s stem <br /> 36 HSC 25299 a 9 Disablin leak detection devices <br /> 37 HSC 25298 a Ille al abandonment of UST system <br /> 38 Other: PHONE: UIC <br /> HD INSP OR: Septic stem: <br /> 'vw0��� s erves>_20 people/day <br /> EI TITLE: L Receives other than sanitary waste <br /> Other disposal methods <br /> j�Dry wells/French Drains <br /> EHD 23-02-002 <br />