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SAN JOAQUIN COUNTY <br />E,, AONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />1TN1nVRGRn1TND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Aity name: <br />1 HSC 25292.2 <br />Designated Operator: <br />Inspection Date: <br />CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 i <br />Facility address: <br />—' <br />UST # <br />Maintenance & monitoring records <br />8 <br />CCR 2643 d) <br />�- <br />_"113\ Ck�i�V—`� ��+y <br />9 <br />Product <br />Product <br />-Daily <br />UST system iso erated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />Facility Contact: Title: <br />JUL Jh5ng005 <br />' <br />UST system monitoringequipment is properly located to detect a leak <br />12 . <br />HSC 25291 <br />Monitoring Panel: Piping system: <br />p.tlessurized [I Suction <br />P E R kl�T��k ftV I C E S <br />Overfill prevention: <br />❑VNechanical ❑Audible/visual <br />ection type: — <br />Routine 11 Monitoring Certification ❑ Installation <br />Violations: <br />❑ M2-RPrev -3 Both <br />❑ Other: F-1M1-RDetect ❑ M <br />VR <br />VIOLATIONS) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations V <br /># Code Section <br />_ <br />V=Violation; RV=Re eat Violation <br />I HSC 25284 Permit tooperate <br />HSC 25291 (a)(2) <br />2 CCR 2637 Secondary containment test performed <br />Biennial tightness test of avtt piping (pre-Januaryh)1984 <br />3 CCR 2711 & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br />1 1 1 <br />4 <br />1 HSC 25292.2 <br />uemncatton or nnancrni ,ca U1,3,VL,1. — -- — -- <br />5 <br />CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 i <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b) <br />Maintenance & monitoring records <br />8 <br />CCR 2643 d) <br />monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />-Daily <br />UST system iso erated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />1 l <br />CCR 2630 d <br />UST system monitoringequipment is properly located to detect a leak <br />12 . <br />HSC 25291 <br />UST system monitoring equipment iso erational <br />27 <br />CCR 2636 (0(l) <br />Continuous monitoring system for underground i ing & UDC is present <br />CCR 2631 a <br />Primary containment is product tight <br />in haad tightness test <br />Repair for tank/ i � <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />Biennial tightness test of avtt piping (pre-Januaryh)1984 <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />Triennial line test for conventional suction piping (pre-January1, 191 <br />17 <br />HSC 25291 <br />Line leak detector(s) are installed <br />Double walls stem located within 1000' of ublic well-ELD <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />Permit to repair UST system <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />Permit to alter monitoring system <br />34 <br />shall have continuous monitoring& 2° containment <br />PHONE: <br />EHD ItiSPECTOR: �� ` •�• - � � r'� <br />CEIVED BY: <br />EHD 23-02-002 <br />TITLE: <br />Nil) <br />1 <br />1 <br />(t) Employee trainin <br />HI <br />J L UIC <br />otic system: <br />- Serves >_20 people/day <br />Receives other than sanitary waste <br />Qther dis<Dosal methods: <br />= Dry wellslFrench Drains <br />20 <br />CCR 2636 (a) <br />Conventional suction r rn <br />Water in 2° containment analyzed & properly dis osed of <br />21 <br />HSC 25291 (e) <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />23 <br />CCR 2715 <br />1 Designated Operator: (a) Statement from UST owner; (c -e) Monthl <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 4) <br />Annual line tightness test <br />28 <br />CCR 2661 <br />in haad tightness test <br />Repair for tank/ i � <br />29 <br />CCR 2643 a <br />Biennial tightness test of avtt piping (pre-Januaryh)1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (pre-January1, 191 <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of ublic well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 <br />Permit to temporaril, close UST system <br />35 <br />HSC 25298 c) <br />Permit to close UST system <br />•36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />PHONE: <br />EHD ItiSPECTOR: �� ` •�• - � � r'� <br />CEIVED BY: <br />EHD 23-02-002 <br />TITLE: <br />Nil) <br />1 <br />1 <br />(t) Employee trainin <br />HI <br />J L UIC <br />otic system: <br />- Serves >_20 people/day <br />Receives other than sanitary waste <br />Qther dis<Dosal methods: <br />= Dry wellslFrench Drains <br />