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SAN JOAQUIN COUNTY <br /> I&NVIRONMENTAL HEALTH DEPARTMENT r <br /> 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj og v.or /g ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: (rte, Designated Operator: Inspection Date: <br /> S��k irr-°5 c59eV-'k-nnl�� �N T� # -t ��� Y;"-'"','./k') PJCIL T�RPrD�u r✓ 3-;B-oC� <br /> Facility address: 1 UST# <br /> '?�O ►J• Y�I C444-et- CPrNuS RjWD Product 41 <br /> Facility Contact: Title: Phone: <br /> PlCAL Tl(LA?G-u.C� (�EAD. ANAIV AuTt"t `165-�Il��l <br /> Monitoring Panel: Piping system: erfill prevention: <br /> LA, �e� A 11 Pressurized uction El Gravity <br /> Gravity Mechanical ❑Audible/visual <br /> Inspection type: I'ViMations. <br /> Routine Monitoring Certification ❑Installation ❑Other: El Ml-RDetect ElM2-RPrev El M-3 Both <br /> VIOLATIONS) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section `, <br /> V=Violation;RV=Re eat Violation <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632(c)(2)(D) Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712(i) Monitoring&response plan is onsite <br /> 7 CCR 2712 b Maintenance&monitoring records Ml <br /> 8 CCR 2643(d) Daily monitoring of suction piping( re-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (MI) <br /> I 1 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 b UST system monitoring equipment is operational M2) <br /> 13 CCR 2636 f)(1) Continuous monitoring systemsystemA underground piping&UDC is present (Mi) <br /> 14 CCR 2631 a Primary containment is'produci ti t <br /> 15 1 HSC 25291 (a)(2) Secondary containment for UST k 'ht <br /> 16 CCR 2636(c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 (f) Line leak detectors are installed (MI) <br /> 18 CCR 2635'(b)(1) Spill container (M2 <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2'containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly ins ection;(f)Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test Ml <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e Biennial tightness test of gravity piping( re-Januar 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jana 1,1984) (Mi) <br /> 31 1 HSC 25292.5 Double walls stem located within 1000'of public 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 totemporarily 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 1 HSC 25298(a) Illegal abandonment of UST system <br /> 38 1 Other: <br /> EHD INSPECTOR: PHONE: UIC <br /> wk LL"I 061 1469.2;.4 q Septic system: <br /> 11 Serves>_20 people/day <br /> RECEIVED BY: TITLE: P Receives other than sanitary waste <br /> Other disposal methods: <br /> ❑Dry wells/French Drains <br /> EHD 23-02-002 <br />