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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <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.or2/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />C,qE,P",� # 20 t 3(z 3 <br />Designated Operator: <br />SuEL-`1W J as <br />Inspection Date: <br />L4 -y -o( <br />Facility address: <br />/ <br />"1b <br />S -T'' <br />UST # <br />Product <br />89 <br />') <br />I <br />Facility Contact: <br />Title: Phone: <br />NvOWAr� n(0- 3tg I <br />Ppitoring Panel -ping <br />iIVV�� cc77 jJ <br />Pisystem: <br />Pressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />Mechanical ❑ Audible/visual <br />7In ection type: <br />Routine gWonitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2" <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b) & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 c 2 <br />D) Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b) <br />Maintenance & monitoring records (Mi) <br />8= <br />CCR 2643 (d) <br />Daily monitoringof suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is 'resent M1 <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak Ml <br />12 <br />HSC 25291 <br />UST system monitoring equipment isoperational M2) <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitoring system for underground piping & UDC is present Ml <br />14 <br />CCR 2631 a <br />Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) Secondary containment for UST is tight <br />16 1 <br />CCR 2636 (c)(1) <br />All releases in secondary piping flow to a collection sum <br />17 <br />HSC 25291 <br />Line leak detector(s) are installed Ml <br />18 <br />CCR 2635 (b)(1) <br />Spill container (M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system (M2 <br />20 <br />CCR 2636 (a) <br />Conventional suction pjping shall have continuous monitoring & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases Ml <br />23 <br />CCR 2715 <br />Designated Operator: a) Statement from UST owner; (c -e) Monthly inspection; (f) Em loyee trainin <br />24 <br />CCR 2638; a <br />Annual monitoring certification <br />25 <br />CCR 2638 a) <br />Annual line leak detector test (Ml) <br />26 <br />HSC 25284.2 <br />Annual spill containment testing <br />27 1 <br />CCR 2636 4 <br />Annual line tightness test (MI) <br />28 <br />CCR 2661 f) <br />Repair for tank/piping has had tightness test M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping(pre-January 1, 1984) <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (pre -January 1, 1984)(Mi) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 1 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 1 <br />HSC 25298 (b) '' <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 c <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 a) <br />Illegal abandonment of UST system <br />38 <br />Others <br />EHD INSPECTOR: <br />A c� <br />1 v <br />PHONE: <br />L(6��'��� <br />UIC <br />Septic system: <br />0 Serves >_20 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />�] Dry wells/French Drains <br />RECEIVED <br />- <br />TITLE: <br />A i <br />I" Yet <br />F,HD 23-02-002 <br />