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U, <br />6 SAN JOAQUIN COUNTY 6 <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 />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facili"A name:A L Designated Operator: TI.tpectio. Date: <br />, I — <br />EHD 23-02-002 REV 05/07 <br />IE: UIC <br />Septic system: <br />- Serves >t20 people/day <br />E: - Receives other than sanitary waste <br />Other disposal methods: <br />- Dry wells/French Drains <br />M-4- <br />Facility address: <br />1W bi VA I lip/ <br />UST # —z7-7 <br />777 <br />Product - <br />I Facility Contact: Title: <br />OVA yev Phone: <br />9a5--719 ®K <br />Monitoring Panel: <br />�*Ajjp�tAg <br />4 0or <br />ip— 144 <br />Pi ing system: <br />Pressurized El Suction El Gravity <br />Overfill prevention: <br />)<Mechanical El Audible/visual <br />Inipectioh type: Violations: <br />k;outine Omonitoring Certification El Installation El Other: El M I - R Detect VM2-RPrev <br /># Code Section VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=RE2eat Violation <br />El M-3 Both <br />V R <br />V <br />I <br />HSC 25284 <br />Permit too erate <br />2 <br />CCR 2637 <br />Secon IM containment test perfortned <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 />MonitorinE Pro ram Monitoring & Res once Plan) is current and approved by the local agency. <br />6 <br />CCR 2712 (i) <br />MonitorinIan is onsite. <br />7 <br />CCR 2712 b) <br />Maintenance & monitoring records <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction piping (pre-JanuM, 1, 1984) <br />—0 <br />9 <br />1 HSC 25292.1 <br />UST system iso2erated to prevent unauthorized release <br />10 <br />I I <br />CCR 2632 (c)(2) <br />CCR 2630 (d) <br />UST monitoring system is present <br />UST system monitoring equipment is properly located to detect a leak <br />(M1) <br />(M 1) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equi2ment iso2erational <br />(M2) <br />13 <br />CCR 2636 l) <br />Continuous monitorinE system for underground 2i2inF& UDC is present <br />(Mi� <br />14 <br />CCR 2631 (a) <br />Primary containment is 2roduct ti ht <br />15 <br />HSC 25291 a)(2) <br />Secon i2a containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondaa 2i2ing flow to a collection sump <br />17 <br />HSC 25291 <br />Line leak detectors ) are installed <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill 2revention system <br />(M2) <br />20 <br />21 <br />CCR 2636 (a) <br />HSC 25291 (e) <br />Conventional suction piping shall have continuous monitoring & 2' containment <br />Water in 2' containment analyzed & pro2erly dis2osed of <br />22 <br />CCR 2650 <br />Recordi/re 2ortin authorized releases <br />(M 1) <br />23 <br />CCR 2715 <br />Designated 02erator: (a) tatement from UST owner; (c -e) Monthly inspection; (t) Employee trainin� <br />24 <br />CCR 2638 a) <br />Annual monitoring ceWication <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(M1) <br />26 <br />HSC 25284.2 <br />Annual s2ill containment testin� <br />27 <br />1 CCR 2636 (t(4) <br />Annual line tightness test <br />(M 1) <br />28 <br />CCR 2661 (t) <br />Repair for tank/ i in has had ti htness test <br />(M2) <br />29 <br />CCR 2643 (e <br />Biennial tiahmess test of gravity piping (pre-Janum 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction 2iging (ere-JanuaEz 1, 1984) <br />(M1) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of 2ublic well-ELD <br />32 <br />CCR 2661 <br />Permit to re air UST system <br />33 <br />1 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 sXstem <br />36 <br />HSC 25299 a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 1a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD 23-02-002 REV 05/07 <br />IE: UIC <br />Septic system: <br />- Serves >t20 people/day <br />E: - Receives other than sanitary waste <br />Other disposal methods: <br />- Dry wells/French Drains <br />