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DATE <br />SAN JOAQUIN COUNTY PR# <br />ENVIRONMENTAL HEALTH DEPAR ENT PAGE Loe 2, <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name /'6g& <br />�e &' p_, Facility Address <br />70 stf <br />L&AV. <br />itl <br />Phone <br />Facilty Contac <br />UST# Product tri UST# Product UST#_Product UST# Product <br />_L <br />Overfill Prevention: ❑ Audible/Visual ❑ Mechanical <br />ravity ❑ Pressure ❑ Suction <br />Monitoring Panel: <br />Violations: <br />❑ Minorjor <br />Piping System: <br />Automatic Pume Shut Down Satisfies CCR 2636 : ❑ Yes ❑ No <br />Dis enser Pan: <br />❑ Yes ❑ No V <br />INSPECTION TYPE: gRoutine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal <br />❑Repair/Upgrade <br />COMPANY NAME: <br />TECHNICIAN NAME: <br />PHONE: <br />VIOLATION(S) <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 <br />(CCR): <br />1 HSC 25284 <br />Permit to operate 20 <br />CCR 2712 (b) <br />Maintenance & monitoring <br />2 CCR 2637 <br />Secondary cont testing (6 <br />month/36 month) 21 <br />CCR 2636 (f)(4) <br />records <br />Annual line tightness test <br />3__V CCR 2711(b) & (c) <br />Current State Forms A & B 22 <br />CCR 2630 (d) <br />Annual line leak detector test <br />4 HSC 25292.2 <br />Certification of financial 23 s/ <br />24 <br />CCR 2630 (d) <br />CCR 2643 (d) <br />Annual monitoring certificatior <br />Daily monitoring of suction <br />responsibility and letter from <br />chief financial officer <br />piping that is not continuously <br />5__V CCR 2630 (d) <br />Continuous monitoring system <br />25 <br />CCR 2643 (d) <br />monitored <br />Triennial tightness test of <br />6 CCR 2636 (c)(1) <br />for UST system <br />All releases in secondary piping <br />suction piping that is not <br />continuously monitored <br />7 HSC 25291 (e) <br />flow to a collection sump <br />Water in secondary (2°) cont 26 <br />CCR 2643 (e) <br />Biennial tightness test of grav <br />piping that is not continuously <br />8 HSC 25291 (f) <br />Automatic line leak detector(s) <br />monitored <br />9 CCR 2636 (f)(1) <br />Continuous monitoring system <br />for underground piping 27 <br />CCR 2662 <br />Upgrade requirements for US <br />10 CCR 2632 (c)(2) <br />Continuous monitoring system <br />28 <br />CCR 2661 <br />system <br />Permit to repair UST system <br />11HSC 25291(a)(2) <br />for UST <br />Secondary containment for 29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />12 CCR 2636 (f)(1) <br />UST is tight <br />Continuous monitoring system 30 <br />HSC 25298 (a) <br />system <br />Illegal abandonment of UST <br />for dispenser system <br />31 <br />b <br />HSC 25298 () <br />system <br />Permit to temporarily close U <br />13 CCR 2635 (b)(1) <br />Spill container <br />system <br />14 CCR 2635 (b)(2) <br />CCR 2631 (a) <br />Overfill prevention system <br />Primary containment is product- 32 <br />HSC 25298 (c) <br />Permit to close UST system <br />15 <br />tight 33 <br />HSC 25291 (e) <br />Water in 20 cont analyzed an <br />16 HSC 25292.1 <br />UST system is operated to <br />prevent unauthorized release 34 <br />CCR 2640 (e) <br />properly disposed of <br />Single wall component within <br />17 CCR 2650 <br />Recording/reporting <br />35 <br />1000' of Public Well, no ELD <br />CCR 2635(a)(2)(A) Cathodic protection testing <br />18CCR 2632 (d) <br />unauthorized release <br />Monitoring & response plan 36 <br />H&SC 25299(a)(9)Disabling leak detect. device <br />19 CCR 2712 (i) <br />Monitoring & response plan is 37 <br />Violations) not listed above <br />on site <br />/ � �7 <br />�-PHONE: q <br />iE�[INSPECTOR: <br />RECEIVED BY: J TITLE: <br />-PHONE: <br />UNITIIUUSTANSA (rev 315102) <br />