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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, Califiomia 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigoov.org/ehd/undiii.htmi <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Faeft nMrnw: <br />Inspection data: <br />Kaiser Foundation - Manteca <br />August 3, 2011 <br />FwMy address: <br />UST01 <br />, <br />1777 Yosemite Avenue, Manteca <br />Product <br />, �u <br />- <br />/ <br />/ <br />/ <br />Facility contact: TNIe: Phone: <br />rbin Chief C=ngmenr (20q) 82.5-3731 <br />Monitorn9 PMS <br />P4dng systain. <br />Overfin prevention: <br />- <br />Violations:Mec <br />Owens Corning <br />1Wessu&edDsucw-91om* <br />awl <br />M1-RDetect[IM2-RPrev[]M3-Both <br />Inspection type: <br />mWonstad operator = exp, dais: <br />® Routine ❑ Monitoring certification ❑ Instalaion ❑ other <br />l c m H i n g sto n 11/2/12 <br />On Win Service Technician's name: ICC exp. dabs: <br />Manwfactimees training: <br />arrod Cooke 5/17/13 <br />Not required for Owens Corning monitoring panel <br /># <br />Code Bastion <br />VIOLATIONS R <br />V <br />HSC=CA Health & Code; CCR --CA Code of R ulatiom; V=V ft ion; RV -"Repeat at Violation V <br />1 <br />HSC 25284 <br />No permit to operate <br />Secondary containment: (a) test not perfomhed; (e) test report not submitted within 30 days; (f) test <br />2 <br />CCR 2637 <br />notification not provided to the Environmental Health Department (EHD) at least 48 hours prior to X <br />conducting the test <br />3 <br />CCR 2711 b <br />Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form X <br />4 <br />MSC 25292.2 <br />Current financial M%!2!j§!bilfty documents not on to with the EHD <br />5 <br />CCR 2632(b) <br />Monitorinq Program (Monitoring & Response Plans is not current or approved by the EHD <br />6 <br />CCR 2712(i) <br />Monitoring n, response plan,and/or operating permit and all conditions not onsite <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'f tali <br />years, written performance claims pertaining to release detection systems for 5 years, or records of <br />repairs, linings, and upgrades for the life of the tank. Monitoring records include: (1) date and time of <br />7 <br />CCR 2712(b) <br />all monitoring or sampling; (2) monitoring equipment calibration and maintenance records, (3) results <br />of any visual observations; (4) results of sample analysis performed a lab or in the #raid; (5) logs of all <br />readings of gauges or other monitoring equipment, ground water elevations, or other test results; (6) <br />results of inventory nmdngs and reconciliations <br />8 <br />1 CCR 2643(d) <br />Daily monitoring of suction piping (pro-January1 1984 not performed <br />9 <br />HSC 25292.1 <br />UST system is not operated to prevent unauthorized release, including is and overfills <br />10 <br />CCR 2632 c 2 <br />Monitoring system is not present in the interstitial space of a double walled UST 1 <br />11 <br />CCR 2630(d) <br />UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity(Ai) <br />12 <br />HSC 25291(b) <br />UST monitoring system incapable of detecting leak from primary containment into secondary (11111) <br />containment <br />13 <br />CCR 2636(0(1) <br />Failed to maintain a continuous monitoring system for underground piping & UDCs that activates iml) <br />an audible and visual alarm or stops flow of product at the dispenser when it detects a leak <br />14 <br />CCR 2631(a) <br />Primary containment is not product tiht <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST system is not tight <br />16 <br />CCR 2636(c)(1) <br />All releases in secondary piping do not flow to a collection sum <br />17 <br />CCR 2 <br />Line leak detector(s) not installed or failed to detect a allon per hour leak at 10 psi <br />18 <br />CCR 2635(b)(1) <br />Spillcontainer min a minimum capacity of fire gallons, or failed to provide a means (ae) <br />rlfa� <br />pty <br />19 <br />CCR 2635(b)(2) <br />Overfill prevention s was overridden or failed to meet overfill requirements in this section tax) <br />20 <br />CCR a <br />Failed to have seconds contairmrent for piping (includes conventional suction piping <br />21 <br />HSC 25291 a <br />Water in 2° containment not removed, analyzed & properly disposed of <br />Unauthorized release that: (c) did not escape secondary containment gni, cleared up within eight (mi) <br />22 <br />CCR 2650 <br />hours was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a <br />sudden loss of product was not reported to the EHD within 24 hours <br />23a <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated g22E92r within 30 days <br />23b <br />CCR 271 b <br />nated rator did not a current ICC UST stem O rator certification <br />EHD inspector. <br />Received by: Title: <br />' k:���2" <br />AA—� t,a <br />EHD 234)2 002 REV W13N0 Page 1 UST ONION REPORT <br />