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SAN JOAQUIN COUNTY <br />cNVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br />Facility nam <br />5ddress: <br />esVpnOperator:at <br />r'V <br />inspection <br />D <br />Facility <br />Y P z <br />Pace iii Avg, sf vckJVA <br />UST #� • <br />'Product <br />U <br />As <br />� I <br />Facility Contact: <br />Title: Phone: <br />ozk;6 ofsr� z gbe��>c <br />Monitoring Panel: <br />Piping system: <br />Pressurized 0 Suction 0 Gravity <br />Overfill prevention: <br />0 Mechanical Audible/visuai rD <br />In <br />tion tyP�e-j� <br />outiLot% "i Monitoring Certlfic l on 0 Installation ❑ Other. <br />Violations: <br />M7-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATIONS) HSC=Califomia Health & Safety Code; CCR=CaI'tfomia Code of Regulations V R <br />V=Violation; RV=Re eat Violation . V <br />1 <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Second a containment test Performed <br />3 <br />CCR 2711 b & c Current Unified Proram Consolidated Forms on file with EHD (Facilityand tank form <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 b <br />Monitoring Program Monitorin & Response Plan Is current and approved by the local agency. <br />6 <br />1 CCR 2712 i <br />Monitoring Ian is onsite. - <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records M1 <br />8 <br />CCR 2643 d <br />Daily monitoring of suction piping (pre-Januay,1, 1984 <br />9 <br />HSC 25292.1 <br />UST system iso erated to Dre,ent unauthnr¢ed release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present M1) <br />11 <br />CCR 2630 d <br />UST s stem monitoring aqui ment is ro I located to detect a leak - M1 <br />12 <br />HSC 25291 b <br />UST s stem monitoring equipment is operational (M1 <br />13 <br />CCR 2636 (f)(1)Continuous <br />monitoring system for underground piping& UDC is resent 1 <br />14 <br />CCR 2631 a <br />Prima containment is roducttiht <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases In seconds i in low to a collection sum <br />17 <br />HSC 25291 <br />Line leak detector(s)are installe(Mill <br />18 <br />CCR 2635 (b)fl) <br />Spill container 11,12) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention s stem M2- <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 20 containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed 8 property disposed of. <br />22 <br />CCR 2650 <br />Recordin /re orti ` ofunauthorized releases M1) <br />23 <br />1 CCR 2715 <br />Designated O erator. a Statement from UST owner c -e MonthlyInspection; Employee trainin <br />24 <br />CCR 2638 a <br />Annual monitorin certificalon <br />25 <br />CCR 2638 a <br />Annual line leak detector test M1 <br />p <br />26 <br />HSC 25284.2 <br />Annual spill containment testing <br />27 <br />CCR 2636 4 <br />Annual line tightness test M1 <br />28 <br />CCR 2661 <br />Repair for tank/piping has had tightness test (M2 <br />29 <br />CCR 2643 a <br />Biennial tightness test of cavi 21ping re-Janua 1 1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (pre-January1, 1984 (M1 <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />1 CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitorin2 system <br />34 <br />HSC 25298 b <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 c <br />Permit to close UST system <br />36 <br />HSC 25299 <br />as <br />Disabling leak detection devices <br />37 <br />HS 298 a <br />Illegal abandonment of UST s stem <br />38 Ot <br />EHD INSPECTOR: <br />r2 <br />PHONE: <br />rZQ�6 <br />UIC <br />Septic system <br />❑ Serves 20 peoplelday <br />0 Receives other than sanitary waste <br />Other disposal methods: <br />❑ D we85/French Drains <br />RECEIVED BY: <br />TIT E: <br />���` <br />EHD 23-02-002 REV 8108 U v <br />