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SAN JOAQUIN COUNTY <br /> OVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax.(209)468-3433 Web:www.S gov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: esi na ed Operator: Inspection <br /> CV WAf-k �- Lyle, <br /> Uwjq�an'-aloe, C� <br /> Facility addr ss: STO <br /> -'Product <br /> Facility Contact: Title: Phone: I- <br /> onitorin P nel: Piping system: Overfill prevention: <br /> WE Hkressurized ❑Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: olations: <br /> Routine 414onitoring Certification ❑Installation Other. M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=California Code of Regulations V R <br /> V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit too erste <br /> 2 CCR 2637 Seconda containment test performed <br /> 3 CCR 2711 b & c Current Unified Pro ram Consolidated Forms on file with EHD(Facility and to for <br /> 4 • HSC 25292.2 Certification of financial res onsibili and CFO letter 2 <br /> 5 ° CCR 2632 b Monitoring Program(Monitoring&Response Plan is current and approved hv the local a enc . <br /> 6 . CCR 2712 i Monitoring Ian is onsite <br /> 7 CCR 2712 b Maintenance&monitoring records M1 <br /> 8 CCR 2643 d Daily monitoring of 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 monitoring system is present (M1) <br /> 11 CCR 2630 d UST system monitoring equipment is pLoLerly located to detect a leak M1 <br /> 12 HSC 25291 b UST system monitoring equipment is operational (ANI) <br /> 13 CCR 2636 1 Continuous monitoring system for under round piping&UDC is present M1 <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 M1 <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 . HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of u authorized releases M1) <br /> 23 ° CCR 2715 Desi Hated O erator.° Statement from UST owner;' -e Monthly inspection,inspection#Employee training <br /> 24 CCR 2638 a Annual monitoring certification -7-11;- <br /> 25 CCR 2638 a Annual line leak detector test "7-IM1 <br /> 26 HSC 25284.2 Annuals ill containment testing -t - % <br /> '27 CCR 2636 4 Annual line tightness test M1 <br /> 28 CCR 2661 Repair for tank/piping has had tightness test 11012 <br /> 29 CCR 2643 a Biennial b htness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1,1984 M1 <br /> 31 1 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 NSC 25298 b Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 Disabling leak detection devices <br /> a 9 2 <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR PHONE: w UIC <br /> ❑Serves>_20 people/day <br /> RECEIVED BY: TITLE: ❑Receives other than sanitary waste <br /> 4% Other disposal methods: <br /> ❑DQ:wells/French Drains <br /> EHD 23-02-002 REV 8/08 <br />