Laserfiche WebLink
r SAN JOAQUIN COUNTY • <br /> 9NVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)468-3433 Web:www.sFgov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection <br /> Date: <br /> (1/2-40 <br /> Facility address: UST# <br /> 'Product <br /> Facility Contact: Ti e: Phone: <br /> MT Irv. � 03 <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> Va- �IZS 3SvLNI)ressurized 0 Suction 0 Gravi echanical 0 Audible/visual <br /> Inspection type: Violations: <br /> S&Routine QVonitorin Certification 0 Installation 0 Other: 0 M1-RDetect 0 M2-RPrev 0 M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code; CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation; RV=Re eat Violation <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <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 b Monitoring Program(Monitoring&Response Plan is current and approved by the local agency. <br /> 6 CCR 2712 i Monitoring Ian is onsite. <br /> 7 CCR 2712 b Maintenance&monitoring records M1 <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 M1 <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak M1 <br /> 12 HSC 25291 b UST system monitoring equipment isoperational M1 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping& UDC is present M1 <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) All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed M1 <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 M1 <br /> 23 CCR 2715 Designated Operator: a Statement from UST owner; (c-e) Monthly inspection; Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annual line leak detector test M1 <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test M1 <br /> 28 CCR 2661 Repair for tank/piping has had tightness test 11112 <br /> 29 CCR 2643 a Biennial tightness test of gravityin (pre-January1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping (preJanuary1, 1984) (M1 <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 1 HSC 25286 a Permit to alter monitoring system <br /> 34 1 HSC 25298 b Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST s stem <br /> 36 HSC 25299 Disabling leak detection devices <br /> (a)(9)( 2 <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONE: septic system <br /> UIC <br /> Z;—Z1 <br /> tD !=Serves>!20 <br /> people/day <br /> RECEIVED BY: 01V TITLE: 11 Receives other than sanitary waste <br /> AA Other disposal methods: <br /> h.fi I r)o PWJ4 t4a° ❑Dry wells/French Drains <br /> EHD 23-02-002 REV 8/08 <br />