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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax. (209)468-3433 Web:www.sigov.org�ehd <br /> UNDERGROUND STORAGE TANK JUST) PROGRAM INSPECTION REPORT <br /> FFacilit�name: Designated Ope tor: Inspection Date: <br /> 0 61h,26n� ' " rumen - - <br /> ac'it <br /> Facility address: UST# 7- <br /> IV <br /> Product <br /> Facility Contact: Title: <br /> Title: Phone: <br /> M Orin �04 qW <br /> P el- Piping system: Overfill prevention: <br /> jcl]Pressurized YSuction 11 Gravity I Wchanical 0 Audible/visual <br /> -Inspection type: Violations: <br /> XRoutine Monitoring Certification El Installation El Other: I El M I-RDetect ffM' 2-RPrev 0 M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V=Violation;RV=R22eat Violation V <br /> I HSC 25284 Permit too erste <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 fon-n) <br /> 4 HSC 25292.2 Certification of financial responsibili!X and CFO letter <br /> 5 CCR 2632(bMonitoring Proram Monitoring&Response Plan)is current and R2roved by the local 2ency. <br /> 6 CCR 2712(i) _Monitorin�plan is onsite. <br /> 7 CCR 2712(b) Maintenance&monitoring records (Mi� <br /> 8 CCR 2643(d) Daily monitorinof suction i in re-JanusEZ, 1, 1984) <br /> 9 1 HSC 25292.1 UST systern iso2erated to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is 2resent (M 1) <br /> I I CCR 2630(dUST system monitoring equi2ment is 2r02er(y located to detect a leak (M 1) <br /> 12 HSC 25291 b) UST s stem monitoring equi2ment iso2erational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitorina system for underground piping&UDC is present <br /> 14 CCR 2631 (a) Primary containment is 2roduct tight <br /> 15 1 HSC 25291 (a)(2) Seconda containment for UST is tight <br /> 16 CCR 2636 1c)(1) All releases in seconds a Ei2inflow to a collection sumE <br /> 17 HSC 25291 Line leak detectors)are installed Im 1) <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill 2revention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitorin &2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&Erogerly disposed of <br /> 22 CCR 2650 Recording/EMorting of unauthorized releases (M1) <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly ins2ection;(f)EmI2Yee trainin <br /> 24 CCR 2638(a) Annual monitorim certification <br /> 25 CCR 2638 a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annual s2'11 containment testing <br /> 27 CCR 2636(D(4) Annual line tightness test <br /> 28 CCR 2661 f) Re air for tank/2iRinE has had tihtness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of Eravity piping(pre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction 2iping( re-Janus a 1, 1984) (MI) <br /> 31 HSC 25292.5 Double walls stei located within 1000'of gublic well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 1 HSC 25286(a) Permit to alter monitorinE system <br /> 34 HSC 25298(b) Permit to tem2orarily 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) Illegal abandonment of UST system <br /> 38 Other: <br /> EVD INSPECTOR HONE- UIC <br /> 4SSel2tic system:�3 1�" -Serves��20 people./day <br /> RECE TITLE: -Receives other than sanitarywaste <br /> /11)BY. 12 V Other disposal methods: <br /> Dry wells/French Drains <br /> 07 — <br /> EHD 23-02-002 REV 05/07 <br />