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\ SAN JOAQUIN COUNTY .i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)468-3433 Web:www sigov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Designated Operator: Inspection <br /> Facility name: _ I Da e: !� <br /> Facility address: UST# " <br /> Produc <br /> F ility contact: Title: Phone: <br /> onitorin Pape� Piping sy tem: Overfill prevention: <br /> Pressurized ❑Suction ❑Gravity ❑Mechanical Mudiblelvisual <br /> Violations: <br /> Inspection type: <br /> Routine XMonitoring Certification ❑Installation ❑Other: ❑M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> V R <br /> N4HSC252j92.2 <br /> e Section VIOLATION(S) HSC=California Health&Safety Code; kand <br /> of Regulations V <br /> V=Violation; RV=Re eat Vi <br /> 284too erate <br /> 37 a containment test .,formed <br /> 711 b & t Unified Program Consolidated Forms on file with EHrm292.2ation of financial resonsibili and CFO letter632 brin Pro ram Monitorin & Res ons.Plan is current local a enc . <br /> 712 1rin Ian is onsite.712 bnance& monitorin records M1643 donitorin of suction piping (pre-January, 1, 1984 <br /> 9 HSC 25292.1 1 UST s stem is operated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoringsystem is resent 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 pi ing& 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 11112 <br /> 20 CCR 2636 (a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed 8 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 gravity piping (pre-January 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1, 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 HSC 25286 a Permit to alter monitoringsystem <br /> 34 HSC 25298 b Permit to temporarily close UST system <br /> 35 NSC 25298 c Permit to close UST system <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 /> E SPC !P,t10�NE: UIC Septic system: <br /> -� <br /> serves>20 people/day <br /> REtEYVED BY: TITLE: -I Receives other than sanitary waste <br /> Other disposal methods: <br /> "I Dry wells/French Drains <br /> EHD 23-02-002 REV 0/08 <br />