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SAN JOAQUIN COUNTY 1b <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> 144k <br /> Facility address: UST# 7jT 7 <br /> 'Product <br /> Faciljfty Contac Phone: <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> L) —1-2.$ 30�7 LIAoi-surized El Suction El Gravity El Mechanical *R'!kudible/visual <br /> Yspection type: Violations: <br /> �rRoutine A rMonitoring Certification El Installation El Other: El M I-RDetect VM2-RPrev El M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code o(Regulations V R <br /> V=Violation;RV=Repeat Violation V <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Seconda containment test performed <br /> 3 CCR 2711 b)&(c) Current Unified Program Consolidated Forms on file with EHD Facilitv and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plan)is current and approved by the local agency. <br /> 6 CCR 2712(i) Monitoring plan is onsite. <br /> 7 CCR 2712(b) Maintenance&monitorin records (M 1) <br /> 8 _CCR 2643(dDaily monitoring of suction piping(pre-Janus[y, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> _16 _TCCR 2632 c)2) UST monitoring system is eresent (M 1) <br /> I I I CCR 2630(d) UST system monitoring equipment is 2roperly, located to detect a leak Ml) <br /> 12 HSC 25291 (b) UST astern monitoring equipment isoperational (M2) <br /> 13 CCR 2636 n 1) Continuous rnomtonng system for underground piping&UDC is present (MI) <br /> 14 CCR 2631 a) Primary containment is product ti ht <br /> 15 HSC 25291 (a)(2Secondary containment for UST is ti ht <br /> 16 CCR 2636 c) l) All releases in secondary piping flow to a collection sum2 <br /> 17 1 HSC 25291 Line leak detectors 2 are installed (M 1) <br /> 18 CCR 2635 b) 1) Sgill container (M2) <br /> 19 CCR 2635(b)2) Overfill 2revention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2'containment <br /> 21 HSC 25291 (c) Water in 2'containment analyzed&proeerly dis2osed of <br /> 22 CCR 2650 RecordimirE2orting of unauthorized releases (M1 <br /> 23 1 CCR 2715 Desinated Operator:(a)Statement from UST owner; (c-e)Monthly ins2ection;(t)Employee trainin� <br /> 24 CCR 2638 a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (M 1) <br /> 26 HSC 25284.2 Annual spill containment te2tin <br /> 27 CCR 2636(t)(4) Annual line tialitness test (M 1) <br /> 28 CCR 2661 (f) Repair for tank/piping has had tight less test (M2) <br /> 29 1 CCR 2643 e) Biennial tiEhtness test of gravity Ri2ing(pre-January 1, 1984) <br /> 30 CCR 2643('d) Triennial line test for conventional suction piping( re-Janus a 1, 1984) (M1) <br /> 31 HSC 25292.5 Double wall system 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 monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close UST system <br /> 35 1 HSC 25298(c) Permit to close UST system <br /> E <br /> HSC 25299(a)(9) Disabling leak detection devices <br /> 37 1 HSC 25298(a) abandonment of UST system <br /> 0 <br /> P3 8 1 Other: <br /> EHD INSPECTOR: PHONE- UIC <br /> Septic system: <br /> 0&W -Serves�!20 people/day <br /> RECEIVED BY: T LE: -Receives other than sanitary waste <br /> Other disposal methods: <br /> Dry wells/French Drains <br /> EHD 23-02-002 REV 05/07 <br />