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SAN JOAQUIN COUNTY <br /> y, ENVIRONMENTAL HEALTH DEPARTMENT <br /> „ . 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> <IFORa <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> e l 2,+0 1.14a.a Ileob <br /> Facility address UST# <br /> " Product <br /> Facility Contact: Title: Phone: <br /> fie � If <br /> Monitor ing Pane17: Pipings tem: Overfill prevention: <br /> 'u 1—1 i a ressurized ❑Suction ❑Gravity ❑Mechanical Audible/visual <br /> Inspection type: 1155 Violations: <br /> 04toutine /a Monitoring Certiflcation ❑installation ❑Other: ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATIONS)HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V=Violation;RV=Re eat Violation V <br /> 1 HSC25284 Permit tooperate <br /> 2 CCR 2637 secondary containment test performed <br /> 3 CCR 2711 b)& c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility 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 plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records (MI) <br /> 8 CCR 2643 d Daily monitoring of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present MI <br /> 1 I CCR 2630(d) UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 UST system monitoring equipment isoperational M2 <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present (Ml) <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 detector(s)are installed (Ml <br /> 18 CCR 2635 1 Spill container M2 <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of ✓ <br /> 22 CCR 2650 Recording/reporting of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; c-e Monthly ins ection; Em to ee 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 ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (MI) <br /> 28 CCR 2661 Repair for tank/piping has had tightness test MZ <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-Januaryt, 1984 Ml <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 monitoring system <br /> 34 HSC 25298 Permit to temporarily close UST system <br /> 35 HSC 25298(c Permit to close UST system <br /> stem <br /> 36 HSC 25299(n)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 3S Other:ll Z4 <br /> EH PECT R: PHONE: UIC <br /> n /168 �2 r',� Seotic sys[em: <br /> /iCJ % J–f ❑Serves�0 pe a/day <br /> tV D Y• TITLE: ❑Receiv er than sanitary waste <br /> �� Other osal metho s: <br /> wells/French Drains <br /> EHD 23-02 <br /> u��• ��°"� C�-o-`.rxa.:F `��I� i� c)-�e.J ltJe.rw-la,� ��17iA^T�- . <br /> 1/3/07 <br />