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I <br />M <br />SAN JOAQUIN COUNTY to <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.or�ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />q hvtt <br />A&Wa <br />Designated Operator- <br />Vktka' <br />Inspection Date. <br />Q-Z'Ib� <br />Facility address: <br />------- <br />UST # -7 <br />Product ,, 97 <br />Facility Contact: <br />Title: Phone: <br />Monitor&g Panel: <br />1fjt4N TS I tv I <br />Piping system: <br />Pressurized El Suction El Gravity <br />Overfill prevention: <br />WMechanical El Audible/visual <br />Inspection type: <br />)$ Routine 0 Monitoring <br /># Code Section <br />Violations: <br />Certification El Installation El Other: El Ml-RDetect D M2-RPrev <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=RS2eat Violation <br />El M-3 Both <br />7;F -Ij- <br />V <br />I <br />HSC 25284 <br />Permit too2erate <br />2 <br />CCR 2637 <br />Seconds containment test performed <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 />5 <br />CCR 2632 (b) <br />Monitoring Program (Monitoring & Response Planis current and a22roved by the local Mency. <br />6 <br />CCR 2712 (i) <br />MonitorinE 21an is onsite. <br />7 <br />CCR 2712 (b) <br />Maintenance & monitorina records <br />(M 1) <br />8 <br />CCR 2643 d <br />Daily monitoring of suction pi2inre-Janus!j, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 c) 2) <br />UST monitorinsXstem is 2resent <br />(M1) <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipmient is properly located to detect a leak <br />MI) <br />12 <br />HSC 25291 lb <br />UST system monitorina equi2ment iso2crational <br />(M2) <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitoring system for under round 12'2ing & UDC is 2resent <br />(M 1) <br />14 <br />CCR 2631 (a) <br />Primary containment is 2roduct tiht <br />15 <br />HSC 25291 (a 2) <br />Seconds containment for UST is tight <br />16 <br />CCR 2636 (c)I) <br />All releases in seconds Ey 2i2inflow to a collection sump <br />17 <br />HSC 25291 ID <br />Line leak detector(s) are installed <br />- <br />(M 1) <br />18 <br />CCR 2635 b)(I) ...... <br />S2ill 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 2i2inE shall have continuous monitorina & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & 2ro2erly dis2osed of <br />22 <br />CCR 2650 <br />Recordin/reporting of unauthorized releases <br />(M 1) <br />23 <br />CCR 2715 <br />Desinated 02erator: (a) Statement from UST owner; (c -e) MonthlZ ins 2ection;LEm2loXee t2mi2a— <br />24 <br />CCR 2638 (a <br />Annual monitoring certification <br />-.1t- <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />—?( <br />(M1) <br />X <br />26 <br />HSC 25284.2 <br />Annual spill containment testin� <br />27 <br />CCR 2636 (D14) <br />Annual line tightness test <br />(M 1) <br />28 <br />CCR 2661 (f) <br />Repair for tank/piping has had tiEhtness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre -Janus ll 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction 2i2inE (re -Janus !x 1, 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 repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST sXstem <br />36 <br />—FHSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />1 HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 1 Other: <br />EHD INSPECTOR: PHONE: UIC <br />h'� DILA-Septic system <br />- Serves �!20 people/day <br />RECEIVED BY: TITLE: - Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />J <br />EHD 23-02-002 REV 05/07 <br />