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0 SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stock -ton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sigov.or--/eh <br />j <br />Facility name: <br />—1 Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCIZ=California Code of Regulations <br />g"11 <br />V=Violation; RV=Repeat Violation <br />Designated Operator: 1 inspection Date: <br />j_L <br />H284 <br />Permit to overate <br />Facility address;- <br />CCR 2637 <br />Secondary containment test ped'ormed <br />UST # <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Faciiiqy and tank form) <br />V <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />-5 <br />5 <br />CCR 2632 (b) <br />. <br />'Product <br />ct <br />6 <br />CCR 2712 (i) <br />Monitoring plan is onsite. <br />Facility Contact: <br />Title:r <br />... ... <br />Phone: <br />CCR 2712 (b) <br />7 <br />7 <br />8 <br />1 CCR 2643 (d) <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring systema present <br />(MI) <br />Monitoring Pa nel: <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />Overfill prevention: <br />12 <br />HSC 25291 (b) <br />UST system monitoring equi2ment isoperational <br />Suction r— Gravitv <br />M.��echanical E Audible/visual <br />13 <br />Inspection type: <br />Continuous monitorings ysu= for underground 2iping & UDC is present <br />(MI) <br />Violations: <br />14 <br />E Routine A,' Monitoring <br />Certification <br />E Installation C' Other: <br />-- M I -RDetect LrM--R-Pmv <br />CM -3 Both] <br />PHnII-111-001 RPV 04; (17 <br />—1 Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCIZ=California Code of Regulations <br />g"11 <br />V=Violation; RV=Repeat Violation <br />V R <br />V <br />j_L <br />H284 <br />Permit to overate <br />2 <br />CCR 2637 <br />Secondary containment test ped'ormed <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Faciiiqy and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 (b) <br />Monitoring Program (Monitoring & Response Plan) is current and ap2roved bx 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 />8 <br />1 CCR 2643 (d) <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring systema present <br />(MI) <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />(MI) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equi2ment isoperational <br />(M2) <br />ale <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitorings ysu= for underground 2iping & UDC is present <br />(MI) <br />14 <br />1 CCR 2631 (a) <br />Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary piping flow to a collection sump <br />17 <br />HSC 25291 (f) <br />Line leak detector(s) are installed <br />(MI) <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recordingireporting of unauthorized releases <br />(Mi) <br />23 <br />CCR 2715 <br />Designated 02erator: (a) Statement from UST owner; (c -e) Monthly inspection; (f) Employee training <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(MI) <br />26 <br />HSC 25284-2 <br />Annual spill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(M <br />28 <br />CCR 2661 (f) <br />Repair for tank/piping has had Lightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre -January 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping (2re-January 1, 1984) <br />(MI) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTOR: PHONE: <br />i utc <br />Seotic systeni-- <br />Se'rv'es >�10 people/day <br />Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />RECEIVED BY: TITLE: <br />4 <br />PHnII-111-001 RPV 04; (17 <br />