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Oct 21 09 03:13p Francene Escobar 2098254539 p•6 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www sioov orafehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTIONREPORTesignated Operator. <br /> Inspection <br /> Facility name: jj 77 Date: y <br /> to zY`(� <br /> UST# (� <br /> Facility address: A <br /> rTJC."n�LLg j!1^• ,:,-rJT'C'-'!-� Product <br /> �L;� \ Ur ;,y.ll_/ Y, Phone: <br /> Facility Contact: Title: (/ 4 _ � <br /> JC J, V 7.7 � I ^,� <br /> ' ' <br /> r( f�V v GI iJ L-aLh�Y77 °vf ' Overfill prevention: <br /> Monitoring Panel: Pipingsystem: <br /> TL ' <br /> N atio nical 7 Audible/visual <br /> -TC. 7 2 Z'• Eressurized Cl❑Suction U Gravity Violations: <br /> Inspection type: � // ❑Mt-RDetect �7 M2-RPrev ❑M-3 Both <br /> urkoutine Ual1oniloring Certification ❑installation ❑Other: V R <br /> VIOLATION(S) HSC=California Health &Safety Code;CCR=California Cade of Regulations V <br /> # Code Section V=Violation; RV=Re eat Violatien <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 f nartaal res onsibtlit and CFO letter <br /> 5 CCR 2632 b Monitorin P ram Monitori &Res nse Plan is current and approved b the local;agency. <br /> 6 CCR 2772 i Monitorin Ian is onsite. M1 <br /> 7 CCR 2712 b. Maintenance&monitorin records <br /> 8 CCR 2643 d Dail monitorin of suction piping re-Janus , 1, 1984 <br /> 9 HSC 25292.1 UST s stem isoperated to prevent unauthorized release M1) <br /> 10 CCR 2632 c 2 UST monitorings stem is present 1 <br /> 11 CCR 2630 d UST system monitorin equi mentis ro d located to detect a leak M1 <br /> 12 HSC 25291 b UST s stem monitorin equipment is o rational M1 <br /> 13 CCR 2636 1 Continuous monitorings stem for unde round in &UDC is resent <br /> 14 CCR 2631 a Primary containment is roduct li ht <br /> 15 HSC 25291 a 2 Secooda containment for UST is mi- <br /> 16 <br /> ht16 CCR 2 36 c All,releases in secondary pipingflow to a collecti su ' (`_} M1 <br /> 17 <br /> HSC,-'2 9f" t neReak detectors are installed I <br /> V r 4 - �, M2) <br /> 1s CCR 2635 b 1 S ill container M2 <br /> 19 CCR 2635 In 2 Overfill evention system - <br /> 20 CCR 2636 (a) Conventional suction piping shall have continuous monis &21 containment <br /> 21 HSC-25291 (e) Water in 2°containment analyzed&properl dis osed of _ (M1 <br /> 22 CCR 2650 Recording/reportingof unauthorized releases ` <br /> 23 CCR 2715 Designated Operator: a)Statement from UST owner; c-e Monthly ins ettton; Employee training <br /> 24 CCR 2636 a Annual monitoring certification -" <br /> 25 CCR 263B(a) Annual line leak detector test -" ! r M1 <br /> 26 HSC 25284.2 Annuals ill containment testi � <br /> 27 CCR 2636 4 Annual line rightness test % M1 <br /> 28 CCR 2661 Re air for tank/ ipin has.had tightness test- - (M2 <br /> 29 CCR 2643 a Biennial ti htness of rav' in - Te-4anua 1, <br /> 30 CCR 2643 d Triennial line test cdnventionel-suction pi'i ,(pie- anus 1, 1984 (M1 <br /> 31 HSC 25292.5 Double walls stem locatedvAthin 1000'of ublic well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitorin system <br /> 34 HSC 25298 b Permit to tem raril close UST s stem <br /> 35 HSC 25298 c Permit to close UST 9 stem <br /> 36 i HSC 25299 Disabling Leak detection devices' <br /> a at e z -1_ <br /> 37 HSC 25298 a II I ab do ' <br /> m n_of UST stem _ - \I <br /> 62 <br /> 138 1 Other: UIC <br /> END INSPECTOR: !� r, / S �, kPV66 to <br /> t,''t tU R'1 ?.OQ �) --i t_', -_ `� - --�- Sery is o peoplerday <br /> other than sanitary waste <br /> RECEIVED eY: „ TITLE: n Other dimosal me_�_thodsmethods: <br /> �. ' T O Dry wells/French Drains <br /> UST INSPECTION FINAL <br /> EHD 23-02-002 REV 9/09 <br />