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05/12/2003 15:43 209468 33 FIFTH FLOOR PAGE 02 <br />0r SAN JOAQUIN COUNTY DATE 1 t vs <br />PR# <br />ENVIRONMENTAL HEALTH DEPARTMENT PAGE 1. s 2 <br />• 304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 458-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />1 <br />2 CCR 2637 Secondary cont testing (6 <br />month/36 month) <br />3 CCR 2711(b) & (c) Current State Forms A & S <br />4 HSC 25292.2 Certification of financial <br />responsibility and letter from <br />chief financial officer <br />5 CCR 2630 (d) Continuous monitoring system <br />for UST system <br />6 CCR 2636 (c)(1) All releases in secondary piping <br />flow to a collection sump <br />7 HSC 25291 (e) Water in secondary (20) cont <br />8 HSC 25291 (f) Automatic line leak detector(s) <br />9 CCR 2636 (f)(1) Continuous monitoring system <br />for underground piping <br />10 CCR 2632 (c)(2) Continuous monitoring system <br />for UST <br />11 HSC 26291(a)(2) Secondary containment for <br />UST is tight <br />12 CCR 2636 (f)(1) Continuous monitoring system <br />for dispenser system <br />13 CCI, 2635 (b)(1) Spill container <br />14 CCR 2635 (b)(2) Overfill prevention system <br />15CCR 2631 (a) Primary containment is product - <br />tight <br />16 HSC 25292.1 UST system is operated to <br />prevent unauthorized release <br />17 CCR 2650 Recording/reporting <br />unauthorized release <br />18 CCR 2632 (d) Monitoring & response plan <br />19 CCR 2712 (i) Monitoring & response plan is <br />on site <br />Facility Name_&(AV- SPOP 917.4 Facility Address MAW 8� , AA4.>4 eC14 <br />FaclIty ContactAIft-&- S;4!) . Title C A-e%V 6 #-^ Phone# 7628 <br />UST# ( Product UST# Product UST# 3 Product US' T# Product <br />Overfill Prevention: C Audible/Vival Mechanical Monitoring Panel: &i j jp r lj5 /llL L <br />Piping System: ❑ Gravity Cd Pressure U Suction Violations: X Minor ❑ Major <br />Automatic Pump Shut Down Satisfies CCR 2636 C] Yes No Dispenser Pan: Yes ❑ No <br />INSPECTION TYPE: )(Routine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal ORepair/Upgrade <br />COMPANY NAME: Q to TECHNICIAN NAMiE: I�J (A PHONE: LJ i <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 />HSC 25284 Permit to operate 1 20 V CCR 2712 (b) Maintenance & monitorin <br />INSPECTOR: KAr\4 lld+�J 1�-'(V-P, <br />UNMULMSTANSP (mv 7,24M2) <br />9 <br />records <br />21 J OR 2636 (5(4) Annual line tightness test <br />22 VXCR 2630 (d) Annual line leak detector test <br />23 CCR 2630 (d) Annual monitoring certification <br />24 CCR 2643 (d) Daily monitoring of suction <br />piping that is not continuously <br />monitored. <br />25 CCR 2636 (a) Conventional suction piping <br />shall have continuous <br />monitoring & 2° containment <br />26 CCR 2643 (e) Biennial tightness test of gravity <br />piping that is not continuously <br />monitored <br />27CCR 2662 Upgrade requirements for UST <br />system <br />28 CCR 2661 Permit to repair UST system <br />29____HSC 25286 (a) Permit to alter monitoring <br />system <br />30_ _HSC 25298 (a) Illegal abandonment of UST <br />system <br />31 FISC 25298 (b) Permit to temporarily close UST <br />system <br />32 HSC 25296 (c) Permit to close UST system <br />33_HSC 25291 (e) Water in 2' cont analyzed and <br />properly disposed of <br />34 CCR 2640 (e) Single wall component within <br />1000' of Public Well, no ELD <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />36 H&SC 25299(a)(9)Disabling leak detect. devices <br />37 Violation(s) not listed above <br />