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0 <br /> SAN JOAQUIN COUNTY DATE \ ® Oa <br /> PR# <br /> ENVIRONMENTAL HEALTH DEPARTMENT PAGE ® o - <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility NameWp\ ycs�d ► u Facility Address \35 <br /> Facilty Contact \.. Title IJ P- Phone# <br /> UST#— Product UST#_Productcg� _UST#_Product UST# Product <br /> Overfill Prevention: ❑Audiblenrs,4aI Mechanical MonitoringP nel: <br /> Piping System: El Gravity WPressure ❑Suction // Violations:21-RDet E,M2-Rprev ❑M3-Both <br /> Automatic Pum Shut D wn Satisves CCR 2636(f)(5): QeYes❑ No Designated Operator: <br /> INSPECTION TYPE: RKoutine SWonitoring Certification ❑Complaint ❑Install ❑Removal CRepair/Upgrade <br /> COMPANY NAME: TECHNICIAN NAME:\:A F- tom® PHONE: y-00 0�.. <br /> VIOLATION(S) <br /> The above facility is not in compliance with the following section(s) of Health & Safety Code(HSC) and/or <br /> California Code of Regulations(CCR): <br /> 1 HSC 25284 Permit to operate 23 CCR 2643(d) Daily monitoring of suction <br /> 2 CCR 2637 Secondary cont.testing piping(pre-1/1/84) <br /> 3_LCCR 2711(b)&(c) Current State Forms A&B 24 CCR 2636(a) Conventional suction piping <br /> 4 ; HSC 25292.2 Certification of financial shall have continuous <br /> responsibility&CFO letter monitoring&20 containment <br /> 5-GCCR 2632(c)(2) UST monitoring is present(M1) 25 CCR 2643(e) Biennial tightness test of gravity <br /> 6 ✓ CCR 2630(d) UST system monitoring piping(pre-1/1/84) <br /> equipment is properly located to 26 CCR 2643(d) Triennial line test for <br /> detect a leak(M1) conventional suction(pre- <br /> 7 HSC 25291 (b) UST system monitoring 1/1/84)(M1) <br /> equipment is operational(M1) 27 CCR 2661 Permit to repair UST system <br /> 8 CCR 2636(f)(1) Continuous monitoring system 28 HSC 25286 (a) Permit to alter monitoring <br /> for underground piping &UDC system <br /> is present(M1) 29 HSC 25298(a) Illegal abandonment of UST <br /> 9 CCR 2636(c)(1) All releases in secondary piping system <br /> flow to a collection sump 30 HSC 25298(b) Permit to temporarily close UST <br /> 10 HSC 25291 (f) Line leak detector(s)(M1) system <br /> 11 HSC 25291(a)(2) Secondary containment for 31 HSC 25298(c) Permit to close UST system <br /> UST is tight 32 HSC 25292.1 UST system is operated to <br /> 12 CCR 2635(b)(1) Spill container(M2) prevent unauthorized release <br /> 13 HSC 25284.2 Annual spill container testing 33 CCR 2650 Recording/reporting <br /> 14 CCR 2635(b)(2) Overfill prevention system(M2) unauthorized release(M1) <br /> 15 CCR 2631 (a) Primary containment is product- 34 HSC 25291 (e) Water in 20 cont analyzed and <br /> tight properly disposed of <br /> 16CR 2632(c)(2)(D)Monitoring&response plan 35 CCR 2640(e) Single wall component within <br /> 17 CCR 2712 (i) Monitoring&response plan is 1000'of Public Well, no ELD <br /> on site 36 CCR 2635(a)(2)(A)Cathodic protection testing& <br /> 18 CCR 2712(b) Maintenance&monitoring 60 day inspection log(M2) <br /> records(M1) 37 HSC 25299(a)(9) Disabling leak detect. Devices <br /> 19 CCR 2636(0(4) Annual line tightness test 38 CCR 2715(a) Statement from UST owner <br /> 20 CCR 2638(a) Annual line leak detector test 39 CCR 2715(c) Monthly inspection by D.O, <br /> (M1) 40 CCR 2715(f) D.O.trained employees <br /> 21 CCR 2638(a) Annual monitoring certification 41 Violation(s)not listed above <br /> 22 CCR 2661 (f) Repair for tank/piping has had <br /> htness test M2 <br /> EHD INSPECTOR: PHONE: <br /> RECEIVED BY: TITLE: <br /> Septic System:. ❑Se es Z 20 persons/day ❑Receives other than sanit ry waste <br /> Other Disposal Units Identified: ❑Dry wells/French Drains <br /> CADoaffments and Set0ngsWM1sonlDesktop\UST impecdon91504.DOC <br />