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SAN JOAQUIN COUNTY <br /> OVIRONMENTAL HEALTH DEPARTMENT <br /> ° 304 East Weber Avenue,3rd Floor,Stockton,CA 95202- 708 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sjgov.ote/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Fa cy name: . Designated Operator: Inspection Date: <br /> t j €f '6 It a(8, as o <br /> Facility address: UST# ` } <br /> (/ . — Product " - 3, <br /> W O <br /> Facility Contact: Title: Phone: , <br /> Monitoring Panel: Pi ing system: Overfill prevention: <br /> L S � Pressurized C Suction C Gravityechanical C Audible/visual <br /> Inspection type: 'Violations: <br /> outine onitoring Certification C Installation C Other: C Ml-RDetect C M2-RPrev C M-3 Both <br /> # Code Section <br /> VIOLATIONS) 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 CCR 2712(i) Monitoring&response plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records Ml <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 l) <br /> I 1 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak Ml <br /> 1.2 HSC 25291 6 UST system monitoring equipment isoperational M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631 a Prinwy containment is product tight <br /> 15 HSC 25291 a 2 Secondary containment for UST is tight <br /> . 16 CCR 2636(c)(1) All releases in secondary pipingDow 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 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator: (a)Statement from UST owner, (c-e)Monthly inspection;(f)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(f)(4) Annual Zine 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 pipingre-Jana 1, 1984 <br /> 30 CCR 2643 d) Triennial line test for conventional suction piping(pre-January1, 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) Disabling leak detection devices <br /> 37 HSC 25298 a) Illegal abandonment of UST system <br /> 38 Other: <br /> INS CT R: PHONE: UIC <br /> Septic system: <br /> 11 Serves>20 peo da <br /> REC BY• TITLE: 0 Receives an sanitary waste <br /> ��. Other d' methods: <br /> �y�yV(pQ� QQ vDry <br /> well <br /> Drains <br /> F.HD 23-02-002 <br />