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t f SAN JOAQUIN COUNTY <br /> ONVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3'd Floor,Stockton,CA:95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:�qv.sjgov.or <br /> UNDERGROUND STORAGE TANK USTJ P . RAM INSPECTION REPORT <br /> 'Facility name: L Designated Operator: 'Inspection Date: <br /> i. <br /> '�4Ct-_a -C.. tC <br /> I . <br /> Facility address: UST# , <br /> I �P.2'!a f��+C -a tM y •s a Product <br /> i Facility Contact: Title: Phone: V <br /> Monitoring Panel; Piping system: Overfill prevention: .` <br /> Pressurized ❑Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: Violations: <br /> 4XWRoutine 2!i(ionitoring Certification ❑Installation ❑Other: ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> j r # Code Section <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> V=Violation;RV=Re eat Violation v <br /> 1 HSC 25284 Permit too erate <br /> 77 CCR 2637 Secondary containment test 2erformed <br /> 3 CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> z,;,.HC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local a enc <br /> � ( ,271 i N[onitorin &re nse len isonsite . <, �$ <br /> 7 CCR 2712 b Maintenance&monitoring records Ml <br /> Daily,monitoring of suction piping(pre-January, 1, 1984 <br /> .......:..... <br /> 9 HSC 25292.1 UST system iso erated to prevent unauthorized release <br /> � 6 �n UST monitoring system is present Ml <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak MI <br /> UST system monitoring equipment is o rational M2 <br /> .. 13 CCR 2636 1 Continuous monitoring system for under round piping&UDC is present Ml <br /> 1„ 'CCR'263.1 a Prim containment is roduct ti ht <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> CCK2636(c)(1) All releases in secondary i tin flow to a collection''sum <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 1,$ CC)1 263§ 1 S`''ill container M2 <br /> 19 CCR 2635(b)(2) Overfill revention system M2 <br /> 0, <br /> V9C, i 2636,(x) Conventional suction piRing`shall have continuous monitoring` &20 containment <br /> 21 HSC 25291 e) Water in 2°containment analyzed&properly disposed of <br /> '41 Recording/rel2orting of unauthorized releasee Ml = <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection; Employee training <br /> 24 CC—,2638,(a) Annual monitoringcertification <br /> 25 CCR 2638 a Annual line leak detector test Ml <br /> I6. ZC 25284.29 Annual spill containment testing <br /> 27 CCR 2636 4 Annual line tightness test (MI) <br /> 4 tRz26614 <br /> Repair for tank/piping has had tightness test M2 <br /> '29, CCR 2643 a Biennial tightness test of gravity 2iping(pre-January 1, 1984 <br /> 3:101, Triennial line test for conventional suctionin re-Janu 1,1984) <br /> Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> . '2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> ,,,,,. <br /> 8' Permit to temporarilyclose UST system <br /> 35 HSC 25298 Permit to close UST system <br /> X3 , 2 a 9 Disabling leakdetection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system k <br /> EHD INSPECTOR: PHONE: UIC <br /> I, Septic system: <br /> RECEIVED BY: El Serves 2:20 people/day <br /> TITLE: ❑Receives other than sanitary waste <br /> Other disposal methods: <br /> t A' ❑ wells/French Drains <br /> C; <br /> EHD 23-02-002 <br />