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SAN JOAQUIN COUNTY <br /> OVIRONMENTALHEALTH DEPARTMENT • <br /> 304 East Weber Avenue,3ad Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj ov.or /Q ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Dale: <br /> '-�� g dJ <br /> Facilit ress: UST# <br /> Product ` f <br /> Facilit Contact: Tit e: Phone: <br /> V <br /> Nfon�'tt lof�fing Pa el: Piping system: Overfill prevention: <br /> J ❑Pressurized ❑Suction ❑Gravity M chanical ❑Audible/visual <br /> IrIns ion type: Violations- <br /> . tine onitoring Certification ❑Installation ❑Other: 0 MI-RDetect 0 M2-RPrev 0 M-3 Both <br /> 1Code Section 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 Permit too erate <br /> 2 CCR2637 Secondarycontainmenttestperformed' <br /> 3 CCR 2711 b & c Current Unified Pro ram Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibilityy and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712(i) Monitoring&response pplan is onsite - <br /> 7 CCR 2712(b) Maintenance&monitoring records MI <br /> 8 CCR 2643 (d) Daily monitorin of suction pipingg'. re-January,.1,.1984 <br /> 9 HSC 25292.1 UST system isoperated to 2revent unauthorized release <br /> 10 CCR.2632 c)(2) UST monitoring system is present MI <br /> 11 CCR 2630(d) UST system monitoring equipment is 2roperly located to detect a leak (MI) <br /> 12 'HSC 25291 b UST system monitorin equipment is oerational M2 <br /> 13 CCR 2636 I Continuous monitoring system for underground piping&UDC is present (MI) <br /> 14 CCR 263.1. 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 Ml <br /> 18 CCR 2635 (b)(1) Spill container (M2 <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) " Conventional suction ppiping.shall have continuous monitorin &20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&property disposed of <br /> 22 CCR 2650 Rccorcling/rE2orting of unauthorized releases MI <br /> 23 CCR 2715 Desi sated Operator: (a)Statement from UST owner; (c-e)Monthly inspection;(f)Employee training <br /> 24 CCR 2638(a Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals p ill containment testis' <br /> 27 CCR 2636 4 Annual line tightness test Ml) <br /> 28 CCR 2661 f) Repair for tank/piping has had tightness test (M2 <br /> 29 CCR 2643 (e) Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643(it) Triennial line test for conventional suction piping(pre-January 1, 1984) (MI <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to air UST system <br /> 33 HSC 25286 a Permit to alter monitorin system <br /> 34 HSC 25298(b) Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 O her. <br /> EHDEQTO PHONE: <br /> c s st <br /> eaves 220 people/day <br /> REC IVF.D BY TITLE: ❑Receives other than sanitary waste <br /> D — / Other disposal methods <br /> [/ ❑Dry wells/French Drains <br /> EHD 23-02-002 <br />