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SAN JOAQUIN COUNTY <br /> VIRONMENTAL HEALTH DEPARTMENT <br /> 304 Eastt Weber Avenue,3rd Floor, Stockton,CA 95202-2 8 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web: www.sijzov.org/ch <br /> ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Ins ection ate: <br /> S 4 ELL 01 L Cc0 . r4fT FNL/, l0 16 oL <br /> Facility address: UST# I <br /> 3511; N v Dn eves <br /> Product <br /> Facility Contact: r,(Al A R 6SC� Title: Phone: S Q <br /> -poi ►�e - , p v 14A- 1466 - 6 qq I <br /> Monitoring Panel- J / Piping system: Overfill prevention: <br /> N!� 6 ❑Pressurized ❑Suction )Ckavity ❑Mechanical )(Audible/visual <br /> Inspection type: Violations: <br /> Routine Kmonitoring Certification ❑Installation ❑Other: ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATIONS) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondarycontainment test performed <br /> 3 CCR 2711 )&(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 Monitoring&response tan is onsite <br /> 7 CCR 2712 b Maintenance&monitoring records Ml <br /> 8 CCR 2643 d Dail..y monitoring of suction piping(pre-January, 1,9984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitorings stem is present Ml <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak MI <br /> 12 HSC 25291 UST sy stem monitoring equipment is o erational M2 <br /> 13 CCR 2636 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) Secondarycontainment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondarypiping flow to collection sum <br /> 17 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&2°containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR2650 Recording/ eortin of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator: (a)Statement from UST owner; (c-e)Monthly inspection; 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 tightness 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 i in re-Janus 1, 1984 <br /> 30 CCR 2643 (d) Triennial line test for conventional suction piping(pre-January 1, 1984 MY <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 /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) Illegal abandonment of UST system <br /> 38 Other: <br /> EDD INSPECTOR: o� V� PHONF,: — � 8 UIC <br /> U ONZ S t%Reces <br /> people/day <br /> RECEIVE BY: TITLE: 11her than sanitary waste <br /> Othethods: <br /> M/ 41A'L ���Q-A-A rench Drains <br /> RHD 23-02-002 <br />