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SAN JOAQUIN COUNTY ( �� <br />ONVIRONMENTAL HEALTH DEPARTMENT 7(� ! `v" L' L <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj og v.or / ehd Al -IG L(j�jb <br />TTNDF.RGROTTND STORAGE. TANK (UST) PROGRAM INSPECTIOA, _ R.T! r i-,,- <br />Facility <br />_,r <br />Facility game: <br />Designated Operator. Fi.1G'11 <br />r M '� ' n ate: <br />HSC 25284 <br />Permit tooperate <br />Facility address: <br />UST # <br />k t <br />�9 <br />3 <br />Product <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4iL t <br />Facility Contact; Title: Phone: " <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />Monitoring Panel.' <br />L) 7 <br />Piping system: <br />ressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />Mechanical ❑ Audible/visual <br />Inspection type: v�oiarions: <br />Routine ❑ Monitoring Certification ❑ Installation ❑ Other: Mi-RDetect ❑ M2-RPrev <br /># Code Section VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />❑ M-3 Both <br />V R <br />y <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <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 c 2 (D) <br />Monitoring & response plan is current and filed with the local agency <br />v <br />6 <br />CCR 2712 {i'Monitoring <br />'I& res onse plan is onsite <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />Ml <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction piRing (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to p'event unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitorin system is present <br />(MI) <br />11 <br />CCR 2630 d <br />UST system monitoring a ui ment is properly located to detect a leak <br />Ml <br />12 <br />HSC 25291 b <br />UST system monitoring equipment isoperational <br />M2 <br />13 <br />CCR 2636 1 <br />Continuous monitoring system for under ound piping & UDC is present <br />M1 <br />14 <br />CCR 2631> a <br />Prima' containment is roduct tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All;Teleases:in secondary pipn flow to a collection sump <br />17 <br />HSC 25291 <br />Line leak detectors are installed <br />Ml <br />18 <br />CCR 2635 b(1) <br />Sill 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 i in shall have continuous monitoring & 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />.22 <br />CCR 2650'' <br />Recordin re ortin " of unauthorized releases''(MI) <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly inspection; f) Employee training <br />24 <br />CCR 2638'(a) <br />Annual monitoring,cerfification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Ml) -^ <br />26 <br />HSC 25284.2 <br />Annuals ill containment testin <br />•-: <br />27 <br />CCR 2636 4 <br />Annual line tightness test <br />Ml <br />28 <br />CCR 2661 <br />Repair for tank/ i in has had tightness test <br />(M2 <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity pipingre-Januar 1, 1984 <br />30 <br />CCR 2643' d <br />Triennial line test for conventional suction piping (pre-January1, 1984 <br />(Mi) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of 2ublic well-ELD <br />32 <br />CCR 2661 <br />Permit to re air UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 <br />Permit to. temporarily eloseUST: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 />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTOR: <br />PHONE: <br />UIC <br />Septic system: <br />C Serves >_20 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />❑ Dry wells/French Drains <br />RECEIVED PY: <br />°f <br />TITLE: <br />F,HD 23-02-002 <br />