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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 Fast Main Street, Stockton, California 95202-3029 <br />Telephone.- (209) 468-3420 Fax: (209) 468-3433 Web: www.s'gov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Aor AM�PM STAiIoN 4132695 <br />Designated Operator: Inspection <br />Date: <br />ed -S -,,.2 I/zo/Zbo9 <br />Facility address,: � � j ' � t <br />JC) Vy �S�i� U�/0.y <br />UST # <br />Product <br />) <br />2 <br />/ <br />Facility contact: <br />�tt w► C'e �l%i <br />Title: Phone: <br />�� OW►u r #6 C -6 6 33 lqq3-� <br />Monitorin Panel: 2 <br />'1// , IL.� 350 <br />Piping system: <br />Pressurized Suction Gravity <br />Overfill prevention: <br />C Mechanical Audible/visual <br />Inspection type: <br />kr Routine %Monitoring Certification Installation Other: <br />Violations: <br />❑ M1-RDetect M2-RPrev LI M-3 Both <br /># Code Section <br />_..- <br />VIOLATION(S) HSC=California Health & Safety Code, CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 HSC 25284 <br />Permit to coerate <br />2 CCR 2637 <br />Secondary containment test performed <br />3 CCR 2711 b & c <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 b <br />Monitoring Program Monitoring & Response Plan) is current and approved by the local agency. <br />6 CCR 2712 <br />Monitoring plan is onsite. <br />7 CCR 2712 b <br />Maintenance & monitoring records <br />M1 <br />8 CCR 2643 d <br />Daily monitoring of suction piping (pre -January, 1, 1984 <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 (c)(2) <br />UST monitoring system is present <br />M1) <br />11 CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />(M1) <br />12 HSC 25291 b <br />UST system monitoring equipment is operational <br />(M1) <br />13 CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present <br />M1 <br />14 CCR 2631 a <br />Primary containment is product tight <br />15 HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 CCR 2636 (c)(1) <br />All releases in secondary piping flow to a collection sum <br />17 HSC 25291 <br />Line leak detector(s) are installed <br />(M1) <br />18 CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />19 CCR 2635 (b)(2) <br />Overfill prevention system <br />M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 20 containment <br />21 HSC 25291 (e) <br />Water in 21 containment analyzed & properly disposed of <br />22 CCR 2650 <br />Recordinq/reporting of unauthorized releases <br />M1 <br />23 CCR 2715 <br />Designated Operator: a Statement from UST owner; (c -e) Monthly inspection; Employee training <br />24 1 CCR 2638 a <br />Annual monitoring certification <br />25 CCR 2638 a <br />Annual line leak detector test <br />(M1 <br />26 HSC 25284.2 <br />Annuals ill containment testing <br />27 CCR 2636 4 <br />Annual line tightness test <br />M1) <br />28 CCR 2661 <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 CCR 2643 e <br />Biennial tightness test of gravity piping(pre-January 1, 1984 <br />30 CCR 2643 d <br />Triennial line test for conventional suction piping (pre -January 1, 1984) <br />(M1) <br />31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 CCR 2661 <br />Permit to repair UST system <br />33 HSC 25286 a <br />Permit to alter monitoring system <br />34 HSC 25298 b <br />Permit to temporarily close UST system <br />35 HSC 25298 c <br />Permit to close UST system <br />36 HSC 25299 <br />a 9 2 <br />Disabling leak detection devices <br />37 HSC 25298 a <br />Illegal abandonment of UST system <br />38 Other: <br />I _ <br />EHD INSPECTOR: <br />�� <br />PHONE: ( i U q 7 <br />�/ C _ D�� <br />l9 0 <br />UIC <br />Septic system: <br />Serves �20 people,'day <br />C Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />RECEIVE BY: <br />TITLE: <br />IWA <br />EHD 23-02-002 REV 8/08 <br />