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PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Nameo,j b n NA ' 1 <br />Facility Address i �l C)S <br />Facilty ContactIVI Si Title O r Phone No. _ t <br />Program 1D# PP 02,31 L-1 I Number of UST(s) <br />UST# / Product *f - O ►� - 1 ( u �° <br />Overfill Prevention: Audible an isual Mechanical <br />Piping system: Gravity Pressure Suction <br />Monitoring system b - <br />Automatic pump shutdown satisfies CCR2636 (g): Yes <br />No ✓' <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code <br />(HSC) and/or California Code of Regulations (CCR): <br />1 HSC 25284 Permit to operate <br />2 HSC 25292.3 Upgrade compliance certificate/sticker <br />3 CCR 2711(b) & (c) Current State Form A & B <br />4 HSC 25292.2 Certification of financial responsibility and letter from chief financial <br />officer <br />5 CCR 2630 (d) Continuous monitoring system for UST system <br />6 CCR 2636 (c)(1) All releases in secondary piping now to a collection sump <br />7 CCR 2636 (a) Secondary containment for piping is waterproof <br />8 CCR 2636 (f)(2) Automatic line leak detector(s) <br />9 CCR 2636 (f)(1) Continuous monitoring system for underground piping <br />10 CCR 2632 (c)(2) Continuous monitoring system for UST <br />11 HSC 25291(a)(2) Secondary containment for UST is tight <br />12 CCR 2636 (f)(1) Continuous monitoring system for dispenser system <br />13 CCR 2635 (b)(1) Spill container <br />14 CCR 2635 (b)(2) Overfill prevention system <br />15 CCR 2631 (a) Primary containment is product -tight <br />16 HSC 25292.1 UST system is operated to prevent unauthorized release <br />17 CCR 2650 Recording/reporting unauthorized release <br />18 CCR 2632 (d) Monitoring and response plan <br />19 CCR 2712 (i) Monitoring and response plan is on site <br />20 CCR 2712 (b) Maintenance and monitoring records <br />21 CCR 2636 (f)(4) Annual line tightness test <br />22 ✓CCR 2630 (d) Annual line leak detector test <br />23 CCR 2630 (d) Annual monitoring certification <br />24 CCR 2643 (d) Daily monitoring of suction piping that is not continuously <br />monitored <br />1 of Z <br />PHS 260 (8/04/00) <br />