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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org�ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> G--SQ'-�Ulj,J MW aM fru I-- -- ( 1-z <br /> Facility address: UST# + <br /> A <br /> 10CI-7 YO.S&O CIL., NProduct <br /> Facility Contact: Title: Phone: <br /> M Panel Piping system: Overfill prevention: <br /> ;AW zkRfressurized El Suction El Gravity El mechanical El Audible/visual <br /> Inspection type: Violations: <br /> 16outine El Monitoring Certification El Installation El Other: El M I-RDetect El M2-RPrev El M-3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations v FR <br /> # Code Section V=Violation;RV=RMeat Violation V <br /> I HSC 25284 Permit too2erate <br /> 2 CCR 2637 Secondary containment test performed V�- <br /> 3 CCR 2711 (b)&(c) Current Unified Pro gram.Consolidated Forms on file with EHD Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibili!y and CFO letter <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plan)is current and a2proved by the localEEng <br /> 6 CCR 2712(i) Monitorjnlan is onsite. <br /> 7 CCR 2712(b) Maintenance&monitorina records (M 1) v- <br /> 8 CCR 2643(d) Daily monitoring of suction 2i2inre-January, 1, 1984) <br /> 9 1 HSC 25292.1 UST system iso2erated to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is eresent (M1) <br /> I I CCR 2630 UST system monitoring equipment is properly located to detect a leak (M 1) <br /> 12 HSC 25291 b) UST system monitoring e ui ment isoperational (M2) <br /> 13 CCR 2636(n(l) Continuous monitoring sXstem for underground piping&UDC is 2resent (MI) <br /> 14 CCR 2631 (a) Primary containment is 2roduct tight <br /> 15 1 HSC 25291 a)(2) Seconda containment for UST is tight <br /> 16 CCR 2636 lc) I) All releases in secondary piping flow to a collection sum2 <br /> 17 HSC 25291 (0 Line leak detectors)are installed (M1) <br /> 18 CCR 2635 b)ll) S2ill container (M2) <br /> 19 CCR 2635 1b)(2) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction i in shall have continuous monitoring&2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&2ro2erly disposed of <br /> 22 CCR 2650 Recording/reporting of un_*thorized releases (M1) <br /> 23 CCR 2715 Designated 02erator:AWra-lement from U MonthlZ inspecti( traininE <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (M1) <br /> 26 HSC 25284.2 Annual s2ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test <br /> 28 CCR 2661 (D Repair for tank/2ipinE has had tihtness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of gravity 2i2inre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction 2i2in (pre-January 1, 1984) (M1) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to mair UST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to tem2orarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disablinleak detection devices <br /> 37 HSC 25298(a) Illegal abandonment of UST system <br /> 38 Other: I <br /> EHD INSPECTOR: PHONE:" UIC <br /> Flo 1*6 Ir- 3311Sotic systeni: <br /> Serves <br /> - ��20 people/day <br /> RECEIVED BY: TITLE: -Receives other than sanitary waste <br /> rZ Other disposal methods: <br /> Dry wells/French,nrains <br /> EHD 23-02-002 REV 05/07 <br />