Laserfiche WebLink
0 SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax., (209) 468-3433 Web: www.sigov.org/ehd <br />Facility name: <br />Code Section <br />Designated Operator: <br />Inspection <br />kkLO'W" <br />Permit to operate <br />i6t rl <br />Dat <br />CCR 2637 <br />Secondary containment test performed <br />ve <br />-- <br />Facility address: <br />LA <br />Lt <br />Lj�rt-t q <br />UST# <br />Product <br />HSC 25292.2 <br />T F <br />Facility Contact: Title: <br />-rmq OWM <br />Phone: <br />33363DG/"C(9-5VUj02- <br />-9�7 <br />Monitorin Program (Monitoring & Response Plan) is current and aperoved by <br />the local agency. <br />o Wring <br />0-anel: <br />Piping system: <br />91 <br />Overfill prevention: <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />1%(Pressurized <br />0 Suction 0 Gravity <br />0 Mechanical VAudible/visual <br />Inspection type.,qvs-4qq-q <br />Violations: <br />11 Routine 0 Monitoring Certification <br />0 Installation X�t!R <br />[I Ml-RDetect 0 M2-RPrev 0 M- . 3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V K <br />V=Violation; RV=Re2eat Violation V <br />I <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 (b) <br />Monitorin Program (Monitoring & Response Plan) is current and aperoved by <br />the local agency. <br />6 <br />CCR 2712 (i) <br />Monitoring plan is onsite. <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(MI) <br />CCR 2643 d <br />Daily monitoring of suction eieing (pre -January, 1, 1984) <br />-8 <br />9 <br />HSC 25292.1 <br />LIST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />(MI) <br />11 <br />CCR 2630 (d) <br />LIST system monitoring equierrient is ero2erly located to detect a leak <br />(MI) <br />12 <br />HSC 25291 (b) <br />LIST system monitoring equipment is operational <br />(MI) <br />13 <br />_ <br />CCR 2636 (D(l) <br />Continuous monitoring system for under round piping & UDC is present <br />(MI) <br />14 <br />CCR 2631 (a) <br />Primary containment is 2roduct tight <br />15 <br />1 HSC 25291 a 2 <br />Seconda!y containment for LIST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in seconds !y pi2ing flow to a collection sume <br />7 <br />HSC 25291 (9 <br />Line leak detector(s) are installed <br />(Mi <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />1 9 <br />F1 <br />CCR 2635 (b)(2) <br />Overfill erevention system <br />(M2) <br />2 0 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 20 containment <br />21 <br />HSC 25291 (e) <br />Water in 20 containment anal ed & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />(MI) <br />23 <br />CCR 2715 <br />Designated ORerator: (a) Statement from LIST owner; (c -e) Monthly inspection; Emeloyee training <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />CCR 2638 (a) <br />Annual line leak detector test <br />(MI) <br />.25 <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(MI) <br />28 <br />CCR 2661 (f) <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />1 CCR 2643 (e) <br />Biennial tightness test of -gravity piping (pre -January 1, 1984) <br />30 <br />1 CCR 2643 (d) <br />Triennial line test for conventional suction piping (pre -January 1, 1984) <br />(MI) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of eublic well-ELD <br />32 <br />CCR 2661 <br />Permit to re air UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring system <br />:T4— <br />-HSC 25298 (b) <br />Permit to temporarily close LIST system <br />35 <br />HSC 25298 (c) <br />Permit to close LIST system <br />-36— <br />-HSC 25299 <br />Disabling leak detection devices <br />3-7 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />1 Other: <br />EHDINSP CTO: <br />V <br />RECEIVED �BY- <br />EHD 23-02-002 REV 8/08 <br />PHONE: <br />q&9 <br />TITLE: <br />UIC <br />Septic system: <br />D Serves �:20 people/day <br />0 Receives other than sanitary waste <br />Other disposal methods: <br />0 Dry wells/French Drains <br />LIST INSPECTION FINAL <br />