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SAN JOAQUIN COUNTY <br />`rJ V IRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 9520208 <br />Telephone: (209) 468-3420 FaY: (209) 468-3433 Web: www.sigov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Designated Operator: <br />Inspection Date: <br />(9-28-06 <br />Facility address: <br />1535 G' ?ES(. Fr e_9_ n t e <br />UST # <br />Product <br />3 <br />Facility Contact: <br />N <br />C,�tS Rey <br />Title: Phone: <br />�.o, rw p-. <br />—7� <br />Mpnitoring PaGneI*: , <br />K �� p -J ( <br />Piping system: <br />❑Pressurized Suction Gravi[ <br />Or rfill prevention: <br />Mechanical ❑ Audible/visual <br />Inspection type: <br />RoutineMonitorin <br />Certification 11 Installation 11 Other <br />Violations: <br />11MI-RDetect 2-RPrev 11M-3 Both <br /># Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR Califomia Code of Regulations V R <br />V=Violation; RV=Re eat Violation VI <br />HSC 25284 <br />Permit tooperate <br />2 CCR 2637 <br />Second containment test performed <br />3 CCR 2711 b & (c <br />Current Unified Program Consolidated Forms on file with EHD (Facilityand tank form <br />4 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 c 2 D <br />Monitoring& response Ian is current and filed with the local agency <br />6 CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 CCR 2712 6 <br />Maintenance & monitoring records Ml <br />8 CCR 2643 d <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 (c)(2) <br />UST monitoring system is present Ml <br />11 CCR 2630 d) <br />UST system monitoring equipment is properly located to detect a leak Ml <br />12 HSC 25291 6 <br />UST system monitoring equipment isoperational M2 <br />13 CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present Ml <br />14 CCR 2631 a <br />Primary containment is product tight <br />15 1 HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 HSC 25291 ( <br />Line leak detectors are installed Ml <br />18 CCR 2635 (b)(1) <br />Spill container (M2 <br />19 CCR 2635 (b)(2) <br />Overfill prevention system M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 20 containment <br />21 HSC 25291 (e) <br />Water in 20 containment analyzed & properly disposed of <br />22 CCR 2650 <br />Rmordin reporting of unauthorized releases Ml <br />23 CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly inspection; (f) Employee training <br />24 CCR 2638 a <br />Annual monitorin g certification <br />25 CCR 2638 (a) <br />Annual line leak detector test Ml <br />26 HSC 25284.2 <br />Annuals ill containment testing <br />27 CCR 2636 4 <br />Annual line tightness test Ml <br />28 CCR 2661 f) <br />Repair for tank/piping has had tightness test (M2 <br />29 CCR 2643 e <br />Biennial tightness test of gravity pipingre-Janna 1, 1984 <br />30 CCR 2643 d <br />Triennial line test for conventional suction piping (pre-January1, 1984 (MI) <br />31 HSC 25292.5 <br />Double wall system located within 1000' of public well-ELD <br />32 CCR 2661 <br />Permit to repair UST system <br />33 HSC 25286 a <br />Permit to alter monitoring system <br />34 HSC 25298 ) <br />Permit to temporarily close UST system <br />35 HSC 25298 (c) <br />Permit to close UST system <br />36 HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 HSC 25298 a) <br />Illegal abandonment of UST system <br />38 Other: <br />EHD INSPECTOR: <br />PHONE: ` <br />UIC <br />Septic system: <br />-; Serves 220 people/day <br />F Receives other than sanitary waste <br />Other disposal methods: <br />-Dry wells/French Drains <br />RECEIV BY• <br />TITLE: <br />t /1 /f Ly <br />FHD 23-02-002 <br />