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SAN JOAQUIN COUNTY <br />VIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3d Floor, Stockton, CA 95202? -708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www -.org/eh w- it <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Code Section <br />I <br />Designated Operator: <br />I <br />Inspection Date: <br />ot-(01 aevl <br />71C <br />Facility address: <br />Secondary containment test'2erfonned <br />UST# <br />3 <br />CCR 2711 (b) & (c) <br />q93 EE�f <br />4 <br />Product <br />Certification of financial responsibility and CFO letter <br />Facility Contact: <br />Title: Phone: <br />(c)(2)(D) <br />Monitoring & response plan is current and filed with the local Mency <br />Monitoring Panel: <br />Piping system: <br />Overfill prevention: <br />o_jn � response plan is onsite � <br />V le fL.� 22 6 <br />"essurized 0 Suction El Gravity <br />N4echanical 11 Audible/visual <br />—?-) <br />Inspection type,Violations: <br />011i.'utine type:_, <br />Certification El Installation D Other: <br />11 M I -R.Detect El M2-RPrev El M-3 Both <br /># <br />Code Section <br />I <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V R <br />V=Violation; RV=Re2eat Violation V <br />I <br />HSC 25284 <br />Permit too2erate <br />,2 <br />CCR 2637 <br />Secondary containment test'2erfonned <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Pro am 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 />15 <br />CCR 2632 <br />(c)(2)(D) <br />Monitoring & response plan is current and filed with the local Mency <br />6 <br />CCR 2712 <br />(i <br />o_jn � response plan is onsite � <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(MI) <br />-7 <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suctionpiping (2LctJanyar , 1, 1984) <br />y <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitor!system is present <br />(Mi) <br />I I <br />CCR 2630 d <br />ystem monitoring equipment is properly located to detect a leak <br />UST s <br />(Mi) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equipment iso eratonal <br />(M2) <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitoring system for underground piping & UDC is present <br />(Mi) <br />114 <br />CCR 263 (a) <br />Primary containment is.Eoduct tight <br />15 <br />HSC 25291 (a)(2) <br />Seconds containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondiping flow to a collection sump <br />17 <br />HSC 25291 <br />Line leak detector(s) are installed <br />(Mi) <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 pjping shall have continuous monitorim & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />RecordinLre2orting of unauthorized releases <br />(Mi) <br />23 <br />CCR 2715 <br />Designated 02erator: (a) Statement from UST owner; (c-eMonthly inspection; <br />(f) Employee training <br />24 <br />1 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 tiLhtness test <br />(Mi) <br />28 <br />CCR 2661 (f) <br />Re air for tan!LJ�i in has had tightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity pi2ing (pre -January 1, 1984) <br />1 CCR 2643 (d) <br />Triennial line test for conventional suction 2iping (re -Jana a 1, 1984 <br />(Mi) <br />130 <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 repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitorinsystem <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 />I Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTOR: PHONE(_ZCqj <br />ASgptic <br />1_rk -.?(4-3o <br />TATLE: <br />fo�54 <br />UIC <br />system: <br />L1 Serves >20 people/day <br />0 Receives other than sanitary waste <br />Other disposal methods: <br />E, Dry wells/French Drains <br />FHD 23-02-002 <br />