Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> W VIRONMENTAL HEALTH DEPARTMENT • <br /> 304 East Weber Avenue, 3"Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www sj og v_org_/.ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> P 4A- STO ER-ACta fwt,P'rJ 12-2'1-0b <br /> Facility address: UST# - 9 (Q 11 <br /> yQ'-to VJE-4>T (A1Jc— Product u✓ O OSL `31 <br /> Facility Contact: Title: Phone: <br /> Etl(A novp)i ENvtRAll++ tom- QE D SPEul+uar rl`I2-1 <br /> ,`ry1i�t11 storing Panel:.�,�-y� Plying system: Overtill prevention: <br /> V �5 ✓�,J ressurized ❑Suction ❑Gravit Mechanical ❑Audible/visual <br /> Inspection type: Violations: <br /> ❑Routine )(Monitoring Certification ❑installation ❑Other: ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=Califomia Code of Regulations V R V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit to operate <br /> 2 CCR 2637 Second containment test performed 'r <br /> 3 CCR 2711 b & 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 1 CCR 2712 6 Maintenance&monitoring records MI <br /> 8 1 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 /> 11 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 b UST system monitoring equipment isoperational M2 <br /> 13 CCR 2636(t)(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) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) Al I releases in secondary pipingflow to a 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&20 containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recordin reporting of unauthorized releases MI <br /> 23 CCR 2715 Desi natedOperator: (a)Statement from UST owner; (c-e)Monthly inspection; f)Employee training <br /> 24 CCR.2638 a Annualmonitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annual spill containment testin - <br /> 27 CCR 2636 f)(4) Annual line tightness test MI <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 (e) Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-January1, 1984 (Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000'ofpublic 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) Disabling leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONE: UIC <br /> 1 1 LV� �'t"l t Septic system: <br /> 11 `l -Serves?20 people/day <br /> RECEIVED BY: TITLE: :.Receives other than sanitary waste <br /> Other disposal methods: <br /> L Dry wells/French Drains <br /> Fun 7i-n%w? <br />