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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> Telephone.(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.or <br /> UNDERGROUND STORAGE TANK ST PROGRAM INSPECTION REPORT <br /> Fac ity name: Designated Operator: Inspect' n Date: <br /> Facih y addres UST# <br /> l_ Product <br /> Atytact• Title: Phone: <br /> Pel: P' 'ng system: Overfill prevention: <br /> essurized ❑Suction ❑Gravity echanical ❑Audible/visual <br /> Ins ion type: k tiolations: <br /> utine -044mitoring Certification ❑Installation ❑Other: Elm i-RDetcct ❑M2-RPrev 0 M-3 Both <br /> VIOLATION(S)HSC=Califomia Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation•RV=Re at Violation <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 "HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&res onse plan is current and filed with the local agency <br /> 6 CCR 2712 i Monitoring&response plan is onsite <br /> 7 CCR 2712 b Maintenance&monitoring records Ml <br /> 8 CCR 2643(d) Daily monitoringof suction piping(pre-January,'1,1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoringsystem is present (Mi) <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak MI <br /> 12 HSC 25291 UST system monitoring equipment isoperational` M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631 a Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16' CCR 2636(c)(1)' All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635(b)(1) Spill container M2 <br /> 19 CCR 2635(b)(2) Overfill revention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of ✓ <br /> 22 1 CCR 2650 Recording/reporting of unauthorized releases' Ml <br /> 23 CCR 2715 DesignatedOperator: a Statement from UST owner; (c-e)Monthly inspection; Employee training <br /> 24 CCR 2638 a Annual monitoring'certification <br /> 25 CCR 2638 a Annual line leak detector test Ml <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test Ml <br /> 28 CCR 2661 Repair for tank/piping` has had tightness test M2 <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Jams 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January 1,1984) (Mi <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 Permit to temporarily close UST system <br /> 35 1 HSC 25298 c Permit to close UST system <br /> 36 1 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Ille al abandonment of UST system <br /> 38 Other. <br /> E ECTOItc P PHONE: UIC <br /> lid, �' otic system: <br /> l^l C Serves>_20 peo 1 <br /> RE EIVED BY: V TITLE: Recei er than sanitary waste <br /> V Other ' osal methods: <br /> wells/French Drains <br /> EHD 23-02-002 J <br />