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SAN JOAQUIN COUNTY <br />VIRONMENTAL HEALTH DEPARTMENT <br />M4. - <br />`4 ­.AAA 7_1'.g_4AWj= -- <br />— - , _t"LMM, Stockton, CA 95202C <br />Tele <br />P, one: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />l[TNnFI2GRn1TNn LqTnR AGE TANK (11ST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Re2eat Violation <br />Designated Operator: <br />I <br />Inspection Date: <br />+t <br />CCR 2661 <br />,2 <br />CCR 2637 <br />Secondary containment test performed <br />(a) <br />Facili address: <br />CCR 2711 (b) & c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />UST #T <br />Jp <br />Lf, - - 1"' -- <br />HSC 25292.2 <br />Certification of financial Les2onsibility and CFO letter <br />Permit to close UST s stem <br />Product <br />R1 - , <br />Facility Contact: <br />Title: <br />Phone: <br />CCR 2712 (i) <br />Monitoring & response plan is onsite <br />Other: <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(Mi) <br />Monitoring Pa el: <br />CCR 2643 (d) <br />Piping system: <br />Overfill prevention: <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />Pressurized 11 Suction <br />❑I Gravity <br />WMechanical <br />0 Audible/visual <br />T_ <br />Inspection type. <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />Violations: <br />12 <br />Routine Monitoring Certification [I Installation <br />El Other: <br />D(MI-RDetect <br />[I M2-RPrev El M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Re2eat Violation <br />v <br />V <br />I <br />HSC 25 284 <br />Permit tooperate <br />CCR 2661 <br />,2 <br />CCR 2637 <br />Secondary containment test performed <br />(a) <br />3 <br />CCR 2711 (b) & c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />) <br />4 <br />HSC 25292.2 <br />Certification of financial Les2onsibility and CFO letter <br />Permit to close UST s stem <br />5 <br />CCR 2632 (c)(2)(D) <br />Monitoring & response plan is current and filed with the local agency <br />37 <br />6 <br />CCR 2712 (i) <br />Monitoring & response plan is onsite <br />Other: <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(Mi) <br />8 <br />CCR 2643 (d) <br />Dailyrnonitoring of suction piping (pLeLJanuary, 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 monitoring system is resent <br />(MI <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />(Mi) <br />12 <br />HSC 25291 (b) <br />UST s)21em monitorin equipment is operational <br />(m2)__ <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitoring system for underground piping & UDC is present <br />(Mi) <br />14 <br />CCR 2631 (a) <br />Primary containment is 2roduq±ght <br />15 <br />HSC 25291 (a)(2) <br />Seconds containment for UST is tight <br />116 <br />CCR 2636 (c)(1) <br />All releases in secondary piping flow to a collection surrip <br />17 <br />HSC 25291 (f) <br />Line leak detector(s) are installed <br />Ml <br />,18' <br />CCR 2635 (b)(1) <br />Spill container <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2) <br />120 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2* containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & pro2erly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases , -.1 <br />(MI) V <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; fc-e))Monthly inspection; (f) Employee training <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Mi) <br />26 <br />27 <br />HSC 25284.2 <br />CCR 2636 (f)(4) <br />Annual ill containment testing <br />Annual line tightness test <br />(MI)5 <br />28 <br />CCR 2661 (D <br />Re air for tank/piping has had tightness test <br />(W <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping ( -Janua 1, 1984) <br />�reanu� <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction p!pLmg (pre -January 1, 1984) -------- (Mi) <br />HSC 25292.5 <br />Double wall system located within 1000' of 2ublic well-ELD <br />131 <br />32 <br />CCR 2661 <br />Permit to rgair UST system <br />33 <br />HSC 25286 <br />(a) <br />Permit to alter monitorinE system <br />34 <br />HSC 25298 <br />) <br />Permit to te.mporarily close UST system <br />HSC 25298 (c) <br />Permit to close UST s stem <br />,35 <br />36 <br />HSC 25299 (a)(9) <br />1 Disabling leak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHID INSPECTOR: <br />PHONE: <br />UIC <br />�A <br />TITLE: ' <br />d-) V3 � <br />F14D 23-02-002 <br />Septic system: <br />LJ Serves �:20 people/day <br />El Receives other than sanitary waste <br />Other disposal methods: <br />L Dry wells/French Drains <br />