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0 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Far: (209) 468-3433 Web: www.sigov.org/ehd i)NDERGROITND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Facility named::jam,/ Designated Operator: :-. .J&013 �( Inyspectt on Date: �1- �-' t ! f Facility address: ' UST # - Product Facility Contact: Title: Phone: i - - Monitoring Panel: Piping system: [Pressurized ❑ Suction ❑ Gravity Overfill prevention: ech nad ❑ Audible/visual Inspection type: ❑ Routine ❑ Monitoring Certification ❑ Installation L Other. iolations: I-RDetect ❑ M2-RPrev ❑ M-3 Both # Code Section VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations V R V=Violation; RV=R eat Violation V I HSC 25284 Permit tooperate 2 CCR2637 Secondary containment test performed 3 CCR 2711 b) & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) 4 HSC 25292.2 Certification of financial responsibility and CFO letter 5 CCR 2632 6 Monitoring Pro mm Monitorin & Response Plan is current and approved b the local agency. 6 1 CCR 2712 i) Monitoring Ian is onsite. (') 7 , CCR 2712 6 Maintenance & monitoring records fir. Ml 8 CCR 2643 d) Daily monitoring of suction piping ( re -January, I, 1984 9 HSC 25292.1 UST system isoperated to prevent unauthorized release 10 CCR 2632 (c)(2) UST monitoring system is present (Ml) I I CCR 2630 d UST system monitoring equipment is properly located to detect a leak Ml 12 HSC 25291 b) UST system monitoring equipment isoperational (M2) 13 CCR 2636 I Continuous monitoring system for underground piping & UDC is present Ml 14 CCR 2631 a) Primary containment is product tight 15 HSC 25291 (a)(2) Secondary containment for UST is tight 16 CCR 2636 -c)(1) All releases in secondary pipingflow to a collection sum 17 HSC 25291 f Line leak detectors are installed M 1 18 CCR 2635 (b)(1) Spill container (M2 19 CCR 2635 (b)(2) Overfill firevention system M2) 20 CCR 2636 (a) Conventional suction piping shall have continuous monitoring & 20 containment 21 HSC 25291 (e) Water in 20 containment analyzed & properly disposed of 22 CCR 2650 Recordin re ortin of authorized releases Ml 23 CCR 2715 Desi oared O erator: (a Statement from UST owner, (c -e onthl inspection; t) Employee training-�T; 24 _ CCR 2638 a Annual monitoringcertification` 25 CCR 2638 a) Annual line leak detector test (Ml 26 HSC 25284.2 Annuals ill containment testing 27 CCR 2636 4 Annual line tightness test Ml) 28 CCR 2661 0 Repair for tank/pipinghas had tightness test (M2) 29 CCR 2643 a Biennial tightness test of gravitypiping re -Janus 1, 1984 30 CCR 2643 d) Triennial line test for conventional suction piping (re -Janus 1, 1984) (Ml) 31 HSC 25292.5 Double walls stem located within 1000' of public well-ELD 32 CCR 2661 Permit to repair UST system 33 HSC 25286 a Permit to alter monitoringsystem 34 HSC 25298 b) Permit to temporarily close UST system 35 HSC 25298 c) Permit to close UST system 36 HSC 25299 (a)(9) Disablingleak detection devices 37 HSC 25298 a) Illegal abandonment of UST system 38 Other: END INSPECTOR: PHPO)4E: (/�{�-r3'4� T� UIC Sentic system: C Serve; 2:20 people/day - Receives other than sanitary waste Other disoosal methods: -Dry wells/French [pains RECEIVED BY: i TITLE: EHD 23-02-002 REV 05/07