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SAN JOAQUIN COUNTY <br /> `ENVIRONMENTAL HEALTH DEPARTMEN'`� <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sjov.or gov.org/eh <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> CNE✓RQN 00 WG k4let l v &MC 1.0 3("/0 6 <br /> Facility address: ��p�/�{w�7 / / UST# 6 q <br /> 311 S 9 9w o Product g7 1 <br /> Facility Contact: Title: Phone: <br /> Pyr &MIS VW46EKu,) vu - 4v-az <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> pressurized U Suction U Gravity U Mechanical YAudible/visual <br /> Insl3ection type: Violations: <br /> 6rRoutine (Monitoring Certification U Installation U Other: ❑Ml-RDetect jK12-RPrev U M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 6 & 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 1 CCR 2712(i) Monitoring&response plan is onsite <br /> 7 CCR 2712 6 Maintenance&monitoring records MI <br /> 8 CCR 2643 d) Daily monitoring of suction piping(pre-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present MI <br /> I 1 CCR 2630 d UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 6 UST system monitoring equipment iso erational M2 <br /> 13 CCR 2636 1 Continuous monitoring s stem for underground piping&UDC is present Ml <br /> 14 CCR 2631 a Primary containment is roduct tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in seconds piping Flow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635(b)(I Spill container (M2) t/ <br /> 19 CCR 2635(b)(2) Overfill prevention system ffitraininW, <br /> 20 CCR 2636(a) Conventional suction piping shall have continuoR(c-e) <br /> monitoring&2°containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed& ro erl di <br /> 22 CCR 2650 Recordin re orcin of unauthorized releases <br /> 23 CCR 2715 Designated Operator: (a)Statement from UST oonthl ins ection; Em I24 CCR 2638 a Annual monitorin certification <br /> 25 CCR 2638(a) Annual line leak detector test <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test MI <br /> 28 CCR 2661 ( Repair for tank/piping has had tightness test M2 <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jana 1, 1984) (MI <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(b) Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 a 9 Disablingleak detection devices <br /> 37 HSC 25298 a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONE: <br /> M 'lipfryN (zua) 4G$ — 3X34) Septic system UIC <br /> ,Serves>_20 people/day <br /> RECEIVED BY: TITLE: U Receives other than sanitary waste <br /> Other disposal methods <br /> t�^-' "�✓ - Dry wells/French Drains <br /> EHD 23-02-002 <br />