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SAN JOAQUIN COUNTY <br /> ONVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3d Floor,Stockton,CA 9520f-2708 <br /> Telephone. (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.orgLehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> AVAPA' T� <br /> Facility address: UST# <br /> "a 16A- Product <br /> Facility Contact: Title: Phone: <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> -T(-S 3 SZ ,aressurized 11 Suction 11 Graviechanical El Audible/visual <br /> Inspection type: Violations: <br /> )CR.utine onitoring Certification El Installation 11 Other: El M I-RDetect El M2-RPrev 101 -3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R1 <br /> # Code Section V=Violation;RV=Re2eat Violation V <br /> I HSC 25284 Permit too2erate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 (b)&(c) Current Unified Program Consolidated Forms on file with EHD ffacility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632(c)(2)(5) Monitoring&response plan is current and filed with the local agency <br /> 6 1 CCR 2712 i) Monitoring&response plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records (Mi)– —1 <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-January, 1, 19841 <br /> 9 HSC 25292.1 UST system isoperated to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring systetn is present (Mi) <br /> I I CCR 2630(d) UST system monitoring equipment is 2ro2erly located to detect a leak (Mi) <br /> 12 HSC 25291 (§) UST system monitoring equipment iso erational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underEound]2i2ing&UDC is present (Mi) <br /> 14 CCR 2631 (a) Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Seconds a containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary i'in flow to a collection sump <br /> 17 HSC 25291 (9 Line leak detector(s)are installed <br /> 18 CCR 2635',(b)(1) §2ill container (M2) <br /> 19 CCR 2635(b 2) Overfill prevention system (M2) 1 1 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&properly disposed of <br /> 22 CCR 2650 Recordin eporting of unauthorized releases (Mi) <br /> 23 CCR 2715 Designated 22erator:(a)Statement from UST owner; (c-eMonthly ins2ection;(f)Em to training <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 126 1 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636 4) Annual line tiLhtness test (Mi) <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of Eavity piping(2re-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-January 1, 1984) (Mi) <br /> 31 HSC 25292.5 Double wall system located within 1000'of 2ublic well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> -36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) _1lle al abandonment of UST system <br /> 38 Other: <br /> E71SPE OR: PHONE: UIC <br /> Septic system: <br /> 61-12.1 'Serves>-20 people/day <br /> REC TITLE: ❑Receives other than sanitary waste <br /> 0) Other disposal methods: <br /> 0 Dry wells/French Drains <br /> FHD 23-02-002 <br />