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♦ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone:(209) 468-3420 Fax:(209)468-3433 Web:www sigoy org/ehd/unitiii.html UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Inspection date: Facility name: Facility addresfs'. n �► p yo_ UST#1 ��,."' Product Facility contact: Title: Phone: Ares(lhgr)/Ghr�t)�t G 0 CFO '7n3412'-41 / Monitoring panel: Piping system: O erfill prevention; Violations: V� I M1-RDetect 0 M2-RPre4m3-Both Pressurized O Suction O Gravity udible/visuaIAT& a T Designated era r: IZ�r(b ICC exp.date: Inspection type: N brtan , uvt�hay outine Monitoring Certification El Installation ❑Other: On site Service Technician's name: ICC exp.date: an facturer's training: VM1 P Al �l1wr 4►�b6 �� '` obO13 tri ,9iI o�311z VIOLATIONS V R # Code Section HSC=CA Health&Safety Code; CCR=CA Code of Re ulations;V=Violation; RV=Re eat Violation V 1 HSC 25284 No permit tooperate Secondary containment: (a)test not performed; (e)test report not submitted within 30 days; (f)test 2 CCR 2637 notification not provided to thqj Environmental Health Department(EHD)at least 48 hours prior to conducting the test v DLL 11 3 CCR 2711 b 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 Plans is not current or approved by the EHD 6 CCR 2712(i) Monitoring Ian, res onse plan, and/oroperating permit and all conditions not onsite Maintenance&monitoring records not maintained 3 years, cathodic protection records for 6 Y: (Mt) years,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 7 CCR 2712(b) all monitoring or sampling; (2)monitoring equipment calibration 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 7) readings of gauges or other monitoring equipment, ground water elevations, or other test results; (6) results of invento readings and reconciliations 8 CCR 2643(d) Dail monitoringof suction piping re-Janua 1, 1984 not erformed M1 9 HSC 25292.1 UST system is not operated to prevent unauthorized release, includin sills and overfills 10 CCR 2632 c 2 Monitoring system is not present in the interstitials ace of a double walled UST M1 11 CCR 2630(d) UST monitoring a ui ment is not installed or maintained to detect a leak at the earliest o ortunit (Mt 12 HSC 25291(b) , UST monitoring system incapable Of detecting leak from primary containment into secondary (Mt) Containment 13 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (Mt) an audible and visual alarm or stops flow of product at the dis enser 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 pipingdo not flow to a collection sum 17 CCR 2636 2 Line leak detectors not installed or failed to detect a 3-gallon per hour leak at 10 psi M1 18 CCR 2635(b)(1) Spill container failed to contain a minimum capacity of five gallons,or failed to provide a means (M2) to keep the spill container empty 19 CCR 2635 b 2 Overfill nrevention s stem was overridden or failed to meet overfill requirements in this section M2) 20 CCR 2636(a) Failed to have seconds containment for piping (inclu—es conventional suction i in (M2) 21 HSC 25291 a Water in 20 containment not removed, analyzed&properly dis osed of Unauthorized release that: (c)did not escape secondary containment and cleaned up within eight (Mt) 22 CCR 2650 1hours was not recorded; (e)escaped secondary containment, not cleaned up after eight hours,or a sudden loss of roduct was not reported to the EHD within 24 ho rs 23a CCR 2715 a Failed to inform the EHD of a change of designated o erator wi in 30 d s 23b CCR 2715(b) Designated operator did not ossess a current ICC UST ste O er or certification EHD' s ector. Received by: �i Title: �r�r d� UST INSPECTION REPORT EHD 23-02-002 REV 8/28/10 Page 1