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SAN JOAQUIN COUNTY DATE <br />PR# <br />JVIRONMENTAL HEALTH DEPAR .NT PAGE <br />.,..4 E. Weber Ave., Third Floor, Stockton, CH 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name_ GI b.'S fulL'ilC l� Facility Address_�gU'� <br />Facilty Contact k I LN* Si `Uk Titlel�2, Mat- ( 8Act Phone # c <br />UST#L ProductPiOl- UST# Z Product UST# Product UST# Product <br />Overfill Prevention: R.A15dible/Visual ❑ Mechanical Monitoring Panel: <br />Piping System: ❑ Gravity BPtessure ❑ Suction Violations: ❑ M1-RDet ❑ M2-Rprev ❑ M3 -Both <br />Automatic Pump Shut Down Satisfies CCR 2636 (f)(5): &-Yes ❑ No Designated Operator: hi ui%I VV\A,d-1 A— <br />INSPECTION TYPE: 0R'outine , I tonitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: �6 0 TECHNICIAN NAME: PHONE:Y5q, OK. 2-177 <br />VIOLATION(S) <br />X Vii+ <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secondary cont. testing <br />3 <br />CCR 2711(b) & (c) <br />Current State Forms A & B <br />4 <br />HSC 25292.2 <br />Certification of financial <br />responsibility & CFO letter <br />5 <br />CCR 2632 (c)(2) <br />UST monitoring is present (M1) <br />6 <br />CCR 2630 (d) <br />UST system monitoring <br />26 <br />CCR 2643 (d) <br />equipment is properly located to <br />detect a leak (M1) <br />7 <br />HSC 25291 (b) <br />UST system monitoring <br />27 <br />CCR 2661 <br />equipment is operational (M1) <br />8 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />for underground piping & UDC <br />29 <br />HSC 25298 (a) <br />is present (M1) <br />9 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />30 <br />HSC 25298 (b) <br />flow to a collection sump <br />10 <br />HSC 25291 (f) <br />Line leak detector(s) (M1) <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for <br />32 <br />HSC 25292.1 <br />UST is tight <br />12 <br />CCR 2635 (b)(1) <br />Spill container (M2) <br />13 <br />HSC 25284.2 <br />Annual spill container testing <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system (M2) <br />15 <br />CCR 2631 (a) <br />Primary containment is product - <br />tight <br />16 <br />CCR 2632 (c)(2)(D)Monitoring & response plan <br />17 <br />CCR 2712 (i) <br />Monitoring & response plan is <br />1000' of Public Well, no ELD <br />36 <br />on site <br />18 <br />CCR 2712 (b) <br />Maintenance & monitoring <br />37 <br />HSC 25299(a)(9) <br />records (M1) <br />19 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />20 <br />CCR 2638 (a) <br />Annual line leak detector test <br />40 <br />CCR 2715 (f) <br />(M1) <br />21 <br />CCR 2638 (a) <br />Annual monitoring certification <br />22 <br />CCR 2661 (f) <br />Repair for tank/piping has had <br />ti htness test M2 <br />EHD INSPECTOR: <br />RECEIVED BY: <br />_ O_ L y>! <br />23 <br />CCR 2643 (d) <br />Daily monitoring of suction <br />piping (pre -1/1/84) <br />24 <br />CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />25 <br />CCR 2643 (e) <br />Biennial tightness test of gravity <br />piping (pre -1/1/84) <br />26 <br />CCR 2643 (d) <br />Triennial line test for <br />conventional suction (pre - <br />1/1/84) (M1) <br />27 <br />CCR 2661 <br />Permit to repair UST system <br />28 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />29 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />30 <br />HSC 25298 (b) <br />Permit to temporarily close USl <br />system <br />31 <br />HSC 25298 (c) <br />Permit to close UST system <br />32 <br />HSC 25292.1 <br />UST system is operated to <br />prevent unauthorized release <br />33 <br />CCR 2650 <br />Recording/reporting <br />unauthorized release (M1) <br />34 <br />HSC 25291 (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />35 <br />CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />36 <br />CCR 2635(a)(2)(A) Cathodic protection testing <br />60 day inspection log (M2) , <br />37 <br />HSC 25299(a)(9) <br />Disabling leak detect. Devices <br />38 <br />CCR 2715(a) <br />Statement from UST owner , <br />39 <br />CCR 2715(c) <br />Monthly inspection by D.O, <br />40 <br />CCR 2715 (f) <br />D.O. trained employees <br />41 <br />Violation(s) not listed above <br />PHONE: <br />TITLE: <br />Septic System: ❑ Se71�W90 persons/day ❑ Receives other than sanitary waste <br />Other Disposal Units Identified: ❑ Dry wells/French Drains <br />C:\DOCUME-1\fackson\LOCALS-1\Temp\UST inspection9.15.04.DOC <br />