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.2098253893 ENGINEERING DEPT. 1 19 a.m. 08-27-2009 3/17 <br /> S: SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH.DEPARTMENT <br /> 600 fast Main Street, Stockton, 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 California.eb:m8 w.sioov.am/ehd <br /> UNDERGROUND••� STORAGE TK (USTI PROGRAM INSPECTION REPORT <br /> Facility name: ! Designated tor:, inspection <br /> Facility address: UST# I <br /> 477-7 `/o5 1 'I�• . r1/ry N C Z q f�roavec . '3�Sd- <br /> Facility contact: Tii6®: Phorie: <br /> Monitoring Panel: Piping system: <br /> stem: overfill prevention: <br /> 0"J 6&Z-�f AI Pressurized 0 Suction Gravity gmechanical ❑Audibletiisual <br /> Inspection type- Violations: <br /> Rartlne "hoiln Gertific�don 0 Installation' ❑Otter M1-IkDDetect. OW-RPrev ®M-3 Both <br /> .NrVIOLATION(S) HSC=California Health,&Safety Cade;CCR=Callfeomla Code of Regulations V R <br /> # Code Section V=Vlola-tion;RV=Re t Violation <br /> 1 HSC-25284 Permit too erate <br /> 2 CCR 2637 . Seconds -containmenttest rformed' <br /> 3 COR-2-7-11 b &. c . ;;Current Unified Pro ram.Consolidated Forms:on file with EHD Facili .and tank form <br /> 4 HSC 252922 Certification of financial res • nslbli and CFO letter <br /> 5 CCR 2632 tr MonitoringProgram Whitori & es nse Plan is current and approved b the local en . <br /> 6 CCR 2712 i Monitorin an is onsite: <br /> 7 CCR 2712 b Maintenance&monitoring reeds M1 ?G <br /> 8 OCR 2643:d Dail monitoringof suction piping re-janUa' , 1, 1984 <br /> 9 HSC 2.5292:1: UST sterni§'o erated.to2 reventunauthorized+'eiease <br /> 10 CCR 2632 2 UST monilori m is resent M1 <br /> 1.1 CCR 26301d) UST s stem monito ' e ui ment is'properly located to detect a leak M1 <br /> (' 12 HSC 25291 b UST s stem monitori aqui ment 1s o erational M1 <br /> • 13` CCR 2636 9 Continuous monitoring system for undeEground pitng&UDC is present M1 <br /> [20 <br /> CCR 2681 a Prlma containment is roduct " ht <br /> HSC 25281 a 2 Seconds containment for.UST is fight <br /> CCR 2636(0).. All releases In seconds piping flow to a collection sum i,• ` <br /> HSC 25291 line leak detectors are installed M1 <br /> CCR 2635 b 1 S til container <br /> CCR 2635(b)(2) Overfill revention s m M2 <br /> CCR 2636(a) Conventional suction i in shall have continuous monitorin &2°containment <br /> HSC 25291 (e) Water in 2"containment anal ed& ro fl die sed of <br /> CCR 2650 Recordin /re rtin of unauthorized releases CCR'2715 Designated op2rator. a Statement from UST owner; oathf ins ection; Employee traini <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annual line leak detector test (MILI <br /> 26 HSC 25284,2 Annual,spill oontainment testing <br /> 27 CCR 2636 4 Annual line tightness test' M1 <br /> 28 CCR 2661 Re air for tanW i in has had tightness test 2 <br /> 129 CCR 2643 a Biennial fi htness test of ravi i in re-Janus 1. 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping pre�Janua 1, 1984 (M1)' <br /> 31 HSC 25292.5 Double wall'system located within 1000'of Rublic well-ELD <br /> 32 CCR 2661 Permit to re it UST s m <br /> 33 HSC 25286 a Permit to alter monitoring s tem <br /> rHSC34 HSC 25298 b Permit'to tem raril close UST s m <br /> 35 HSC 2'5298 c ST Permit to close Usystem <br /> 36 <br /> 25298 Disabling leak detection devices <br /> a 2 <br /> 37 HSC 25298 a III al abandonment of UST system <br /> 38 Other. <br /> { 5HD INSPEC-COit: PMOPIE: Bantle systern: UIC <br /> �,V ; /�t'P �•� K a Serves 220 people/day <br /> RECEIVED: TITL, '. 0 Receives other titan sanitary waste <br /> a-zOlh2r&ggWjM2iljg&1 <br /> 0 Dry weitstFrerrch Drains <br /> UST INSPECTION FINAL <br /> EHO 23-02-002 REV 8/08 <br />