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16 SAN JOAQUIN COUNTY • ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.htmi UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Facility namie: ,� Fite( Designated Operator: Exp. date: f1tJe4'A1Pf S" I Inspection 9�te:a 10 Facility address: 1)Ap��r/q /V< Rn1 � V� IJ/�.0 UST# Product c1Sl 61 91 SW ility ntact: ' � Title: Phone: �N>✓r� X33-�-q7Z p �" -"s� Monitoring Qan@I Piping system: ressurized ❑ Suction ❑ Gravity Overfill prevention: echanical ❑ Audiblelvisual Inspection type: ?'Routine onitoring Certification ❑ Installation ❑ Other: Violations: M1-RDetect ❑ M2-RPrev ❑ M-3 Bote-IS-1 On site Technician's Name: ICC Service Technician Exp. Date: Manufacturer's Training: # Code Section VIOLATION(S) HSC=California Health & Safety Code; CC— lifornia Code of Regulations V V=Violation; RV=Re eat V on R V 1 HSC 25284 No permit to operate 2 CCR 2637 Secondary containment: (a) test not performed; (e) test report not sbm'tied within 30 da s; (f) test notification not provided to the EHD at least 48 hours prior to conductingthe test '7 -ll 3 CCR 2711(b) & (c) Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) 4 HSC 25292.2 Current financial responsibility documents not on file with the EHD 5 CCR 2632(b) Monitoring Program (Monitoring & Response Plan) is not current or approved by the local agency 6 CCR 2712(i) Monitoring and/or response plan is not onsite 7 CCR 2712(b) Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 %i years, (M1) written performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; m monitoring equipment calibraflon and maintenance records; (3) results of any visual observations; (4) results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring equipment, ground water elevations, or other test results; (6) results of inventory readings and reconciliations. ao' 8 CCR 2643(d) Daily monitoring of suction piping (pre -January 1, 1984) not performed 9 HSC 25292.1 UST system is not operated to prevent unauthorized release, including spills and overfills 10 CCR 2632(c)(2) Monitoring system is not present in the interstitial space of a double walled UST/piping (M1) 11 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity (M1) 12 HSC 25291(b) UST system monitoring equipment is not operational (M1) 13 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping & UDC that to activates an (M1) audible and visual alarm or stops flow of product at the dispenser when it detects a leak 14 CCR 2631(a) Primary containment is not product tight 15 HSC 25291(a)(2) Secondary containment for UST system is not tight 16 CCR 2636(c)(1) All releases in secondary piping do not flow to a collection sump 17 HSC 25291(f) Line leak detector(s) not installed (M1) 18 CCR 2635(b)(1) Spill container not installed, failed to contain a minimum capacity of five gallons, or failed to provide (11112) a means to keep the spill container empty 19 CCR 2635(b)(2) Overfill prevention system was overridden or failed to meet overfill requirements in this section (M2) 20 CCR 2636(x) Failed to have secondary containment or continuous monitoring (includes conventional suction piping) 21 HSC 25291(e) Water in 21 containment not removed, analyzed & properly disposed of 22 CCR 2650 Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of so product was not reported to the EHD within 24 hours 23a CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days 70 231b CCR 2715(b) Designated operator did not possess a current ICC UST System Operator certification 23c CCR 2715(c), (d), (e) 4. Designated operator monthly inspectio , c alarms not documented; (c)(2-4) spill containers, UDCs, and sumps (if necessary) not inspected; ) required test dates not checked or noted; (c)(6) employee training not verified; (d)(e monthlyinspection re orfs not maintained on site for at least 12 months to 23d 1 C R 2715(f) Designated operator employee training: (1) not performed; (2) not current for at least one employee on site; (3) IoQ not ke t EHD CW REC VED/BY: TITLES, z, % EHD 23-02-002 REV 12/09 Page 1 UST INSPECTION REPORT