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SAN JOAQUIN COUNTY <br />I Iv VIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber: Avenue, P Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468.-3420 Fax: (209) 468-3433 .Web: www.sj og v.6r /ehd <br />..-.r ",r+r,/ITTNTYN Orr"o A f•V T`AVW ffTCTI PPOC-'PAM TNgPF',C'TION REPORT <br />I1II) 23-02-002 <br />Designated Operator: Inspection Date: - <br />Facility name:-. <br />r <br />racilitc <br />alldres+: <br />UST # <br />f <br />�' <br />xfA <br />. =' <br />Product <br />Facilitc <br />(untacC <br />Title: - Phone: <br />- <br />1loniu)rinn 1 ani):'' <br />Piping system:' <br />Overfill prevention: <br />❑ Pressurized ❑ suction ❑ Gravity <br />;'Mechanical <br />❑ Audible/visual <br />Violations: <br />Ili\pectllln t\I)e: <br />Certification [I Installation ❑Other: <br />❑ Ml-RDctcct <br />❑ M2-RPrev F1 M-3 Both <br />Routirnc <br />tijomtoring <br />V R <br />- <br />VIOLATIONS) :HSC=California Health Safety Code; CCR=California Code of Regulations V <br /># <br />Code Section <br />V=Violation; RV=Re cat Violation <br />1 <br />HSC 25284 <br />Permit tooperate <br />C': ;� 263? <br />Secondar containment test performed <br />CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibilitZ and CFO letter <br />5 <br />CCR 2632 (c)(2)(D) <br />Monitoring & response plan is current and filed with the local agency <br />_ <br />6 <br />CCR 2712 (i) <br />Monitoring &response plan is onsite <br />(111) <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />8 <br />CCR 2643 (d) <br />Dail monitoring of suction i ing ( re -January, 1, 1984) <br />9 <br />1ISC 25292.1 <br />UST system iso crated to prevent unauthorized release <br />(V11) <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is resent <br />is located to detect a leak <br />(111) <br />1 1 <br />CCR 2630 (d) <br />UST system monitoring equipment ro erl <br />2 <br />(M2) <br />12 <br />1ISC 25291 (b) <br />UST system monitoring equipment is o erational <br />13 <br />CCR 2636 (00) <br />Continuous monitoring system for underground piping & UDC is resent <br />(VII) <br />14 <br />CCR 2031 (a) <br />Primarycontainment is product tight <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 secondary2iping flow to a collection sum <br />(MI) <br />17 <br />HSC 25291 (f) <br />Linc leak detector(s) are installed <br />(M2) <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(N12) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 <br />HSC 25291 (c) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recordin i/re ortin > of unauthorized releases - <br />(c -c) Monthly ins ection,r(f) <br />(IVI1) <br />;Employee training <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner, <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />(NII) <br />25 <br />CCR 2635 (a) <br />Annual line leak detector test <br />26 <br />HSC 25254.2 <br />Annuals ill containment testing(A11) <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(M2) <br />28 <br />CCR 2661 (f) <br />Re air for tank/piping has had tightness test <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre -January 1, 1984) <br />(All) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping (re -January 1, 1984) <br />31 <br />HSC 25292.5 <br />Double wall systern located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to re air UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitorings stem <br />HSC 252198 (b) <br />Permit to temporarily close UST system . <br />HSC 25298 (c) <br />Pcm�it to close UST system <br />1'ISC 25299 (a)(9) <br />Disablin., leak detection devices <br />k <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />Other: <br />UIC <br />INISPr:c'rog: . <br />{,e r/ ;.:�,' ':-.,- ,S'' .� l _� <br />septic system: <br />` ' <br />❑ Serves >_20 people/day <br />TITLE: <br />❑ Receivesotlier than sanitary waste <br />Ii}: (' <br />}; I V }; ll 131':: <br />Other disposal methods: <br />n ! rr <br />❑ Dry wells/French Drains <br />I1II) 23-02-002 <br />