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SAN JOAQUIN COUNTY <br /> ENVIRONMFNTALHEALTH DEPARTMENT <br /> 304 Fast Weber Avenuc, 3'Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Pax:(209)468-3433 Web. 2 ww.sjgoy.or¢/uhd <br /> UNDERGROVI ND STORAGE TANK ST PROGRAM INSPECTION REPORT' <br /> Facility name. Mh iynatrd Operator: Inspccfimr Date <br /> Facility address: us T H <br /> Product <br /> Facility Contact! Title: _ Phour. <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> ❑Ptessunmd ❑Suction U Gravity -,- 0 Mcchmtical n AudiblOvisual <br /> Inspection type: Viulalians! <br /> O Routine ❑Monitoring Cernncatiou n Installation LJ Other: I I MI-PDelect l)M2-W4ev 0 M.3 Both <br /> # Code Section <br /> VTOLATION(S)HSC+C:ahfomia Health&Safety C'odc;ILVR+Califomia Code of Regulations V R <br /> V=Violation;RV=Rc at Violation V <br /> I HSC 25284 Permit ton i ane <br /> 2 CCR 2637._ Secon conlain nttest omud <br /> 3 CCR 2711 & c Current Unified Pro nsolidated Po on file with EHD(Facilityand tank form) <br /> 4 HSC T5 .,Cent fion o['finaneiai ns IM t til letter <br /> 5 CCR 2632 c 2 'j tmt m'u,, re c local agency <br /> 6 CCR 2712 r Monitorin &ie tau plan is onsite <br /> 7 1 CCR 2712 Maintenance&rnonitorin records Ml) <br /> R CCR 26143 d- .:Dail nitotatt of section i in l 'e-Jan 1,1984 <br /> 9 1 HSC 25292.1 UST system is u crated to Mvmt unautburizcd release <br /> 10 1 CCR 2632(c)<2) UST monitoring system is. sent I) <br /> 11 1 CCR 2630(d) UST system rrsorutoring equipment is Properly located to detest a leak (M 1 <br /> 12 1 HSc 252.91. USTs. mnionitorin q ui p rrlent is operational a(2 <br /> 13CCR 2636 1 Contmuous monitoring s stem for under round piping&11DC is csent Ml <br /> 4 CCR 2434 .a primary containment Wftioduct tight <br /> is HSC 25291 (a)(2) ScuundarcontainrtYnt for UST is ti ht <br /> 16 CCR 2636.s 9 All rc9eam,in a;Ccondai tflow to a collection sump <br /> 17 HSC 25291 Line leak detector(s) arc instal led (MI) <br /> All CCR 2695.LbXt Spill container M2 <br /> 19 CCR 2635(b)(2) Overfill prevention system th,1121 <br /> 20 CCR 2636(a) Conyentional suction piping shall have continuous munitonn &2v contaimm nt <br /> 21 NSC 25291 (e) Water in 2e containment analztd& m rly disposed of <br /> 22 ..CCR 2650" Recor ' re niti of unauthOtticd releases Ml <br /> 23 CCR 2715 Desi t 7aloc s Statement from I IS owner' c-e Month) Ins tion; F. Io c ngN <br /> 24 'CCR.263$',,a : Anniial'nionitorin cc-r—bimmm <br /> 25 CCR 2638 a Annual line leak dctcctor test Ml <br /> .26- HSC,25284.2,.:. Annual ' ill.containmem tcstin - <br /> 27 CCR 26-16(0(4) Annual lint tightness test Ml <br /> 26 CCR 2661 "air for tank! i in 'has had r"ghown test MI <br /> 29 CCR 2643 a Biennial ti mess test of lravit m l re-Januar I 1984 <br /> 30 CCR 2643. ) - .;, 'Trienn line tCst for.cntivenfi - a]suction "i in a-Jana 1, 19yj-- Ml <br /> 31 HSC 25292.5 Double wull Vstcrn located within I WO'of public well-h'LD <br /> 32 (:CR 661 - 2cnoitto"Nit LTST srem <br /> 33 HSC 25256(a) Permit to alter munitorin s tem <br /> 34 HSC 25298 Pcrtitirta` aril close-UST:35 HSC HSC25298 c Perrrnlluclose VSTs stem <br /> 34 H$C 25299-(a)(9) isaNiti':kvkdcEccnon ticviccs <br /> 37 HSC 25298 a Ills al abandonment of UST system <br /> 38 i Other: .. ... . <br /> F,HD INSPECTOR: PIIONE: tut' <br /> Scntic system <br /> tiervcs..>70 peoplr/duy <br /> RF.fF,IVEU Nye TITLE- Reccw w other than sanitary wade <br /> fOei liaPv„il awLholls: <br /> Xy,wclls/Frcnch Drains <br /> run 214n.)n2 <br /> ST/2'd ££b£B9b602:01 :woad 00:20 9002-b0-100 <br />