Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL 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 name: Designated Operator: Inspection Date: <br /> (C Z <br /> --jZF j !7-2— <br /> —----- — <br /> Facility address: -EST# <br /> Z-7 71 <br /> Product <br /> Facility Contact: Title: Phone: <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> v <br /> 1 '2 57cp ressurized El Suction El Gravity echanical= El Audible/visual V= , 12�— <br /> Inspection type: Violations: <br /> Routine r: 0 M2-RPrev 0 M-3 Both <br /> 2&&onitoring Certification El Installation El Other: El M I-RDetect — - — <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V=Violation;RV=RE2eat Violation V <br /> I HSC 25284 Permit too2erate <br /> 2 CCR 2637 Secondary containment test 2erfortned <br /> 3 CCR 2711 (b)&(c) Current Unified Program Consolidated Forms on file with EHD( acility and tank form) <br /> 4 HSC 25292.2 Certification of financial res2onsibili!Z and CFO letter <br /> 5 CCR 2632(b) MonitorinE Program Monitoring&Res2onse Plan)is current and apj2roved bX the local agency. <br /> 6 CCR 2712(i) MonitorinE 21an is onsite. 11 <br /> 7 CCR 2712 b) Maintenance&monitorinE records (M I L IT <br /> 8 CCR 2643 dDaily monitorim of suction 2i2inre-Janus!j, 1, 1984) <br /> 9 HSC 25292.1 _ UST system iso2erated to revent unauthorized release <br /> 10 CCR 2632 c)(2) UST monitorinsXstem is 2resent (MI) <br /> I I CCR 2630(d) UST system m i i ui2ment is 2ro2erly located to detect a leak <br /> LE221!222LES 1M.Ij- <br /> 12 HSC 25291 (b) UST system monitorinE equigment iso2erational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitorinE sXstem for under round 2i2ing&UDC is 2resent MI <br /> 14 CCR 2631 (a) Primary containment is product ti ht <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tiht <br /> 16 CCR 2636 c) I) All releases in secondary piping flow to a collection sump <br /> 17 HSC 25291 (n Line leak detectors)are installed (vi I <br /> 18 CCR 2635 b)(I) Spill container (M2) <br /> 19 CCR 2635 b)(2) Overfill 2revention system (M2) <br /> 20 CCR 2636(a) Conventional suction Ei2inE shall have continuous monitorin &2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/re 2ortinE of unauthorized releases <br /> 23 CCR 2715 Desinated Operator:(a)Statement from UST owner; (c-e)Monthly inspection,(t)LE�mployee�traini <br /> 24 CCR 2638 aAnnual monitoring certification <br /> 25 CCR 2638 a) Annual line leak detector test (M1) <br /> 26 HSC 25284.2 Annual s2ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test 1) <br /> 28 CCR 2661 (f) Re air for tank/piping has had tiahtness test (M2) <br /> 29 CCR 2643 eBiennial tightness test of gravitX 2i2ing 1pre-January 1, 1984) <br /> .30 CCR 2643 d) Triennial line test for conventional suction 2i2ing(ere-Januaa 1, 1984) (M1) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to re air UST system <br /> 33 HSC 25286(a) Permit to alter monitorinsystem <br /> 34 HSC 25298(b) Permit to tem2orarilX close UST sXstern <br /> 35 1 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) DisablinE leak detection devices <br /> 37 HSC 25298(a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTO - PHONE: UIC <br /> Septic system: <br /> Serves 2:20 people/day <br /> RECEIVED BY- TITLE: Receives other than sanitary waste <br /> Other disposal methods: <br /> ,. <br /> Dry wells/French Brains <br /> EHD 23-02-002 REV 05/07 <br />