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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.sjgov.or <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: Designated Operator: <br />St -RI PFFS b Pc-R�°f n N3 Crrz #�- '�.— 30c- 9-;iP4 -'1 <br />Inspection Date: <br />t -26 -01 <br />Facility address: j� UST # <br />00v N iMtC,44� CRNUS ¢j LV Product <br />-2 <br />Facility Contact: Title: Phone: <br />V pt�-T tEV- 2A <br />MonitoringPanel: <br />tfttL akv—T <br />Piping system: O erfill prevention: <br />I ❑ Pressurized Suction ❑ Gravity echanical ❑ Audible/visual <br />I spection type: <br />Routine 41monitoringCertification <br />Violations: <br />❑ Installation ❑ Other: ❑ MI-RDetect M2-RPrev <br />❑ M-3 Both <br /># Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />`, <br />1 HSC 25284 <br />Permit tooperate <br />2 CCR 2637 <br />Secondary containment test performed <br />3 CCR 2711 b & c <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 1 CCR 2712 i <br />Monitoring & response plan is onsite <br />7 CCR 2712 b <br />Maintenance & monitoring records <br />Ml <br />8_- CCR 2643 d) <br />Daily monitoring of suction piping (pre -January, 1, 1984 <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 c 2 " <br />UST monitoring system is present <br />Mi <br />I 1 CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />MI <br />12 HSG 25291 <br />UST system monitoring equipment isoperational <br />M2 <br />13 CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present <br />Ml <br />14 CCR 2631 a <br />Primary containment is product tight <br />15 HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 > CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 HSC 25291 <br />Line leak detectors are installed <br />Ml <br />18 :CCR 2635 (b)(1) <br />Spill container <br />M2 <br />19 CCR 2635 (b)(2) <br />Overfill prevention system <br />M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 CCR 2650 <br />Recordingtreporting of unauthorized releases <br />Ml <br />23 CCR 2715 <br />Designated Operator: a Statement from UST owner; (c -e) Monthly inspection; Employee training <br />24 CCR 2638 a <br />Annual monitoring certification <br />25 CCR 2638 (a) <br />Annual line leak detector test <br />Ml <br />26 HSC 25284.2- <br />Annual spill containment testing <br />27 CCR 2636 4 <br />Annual line tightness test <br />Ml <br />28 CCR 2661 (f)_, <br />Repair for tank/ iping has had tightness test <br />(M2) <br />29 CCR 2643 a <br />Biennial tightness test of gravity piping(pre-January 1, 1984 <br />30 CCR 2643 d <br />Triennial line test for conventional suction piping (pre-January1, 1984 <br />(Mi) <br />31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 CCR 2661 <br />Permit to repair UST system <br />< <br />33 HSC 25286 a <br />Permit to alter monitoring system <br />34 HSC 25298 <br />Permit to temporarily close UST system <br />35 HSC 25298 c <br />Permit to close UST system <br />36 HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 HSC 25298 a) <br />Illegal abandonment of UST system <br />38 1 Other: <br />EHD INSPECTOR: <br />Vu --q <br />` <br />RECEIVED BY: <br />PHONE:, / UIC <br />(�C�.3��`b Septic system: <br />` - Serves >_20 people/day <br />TITLE: - Receives other than sanitary waste <br />Other disposal methods: <br />wells/French Drains <br />EHD 23-02-002 <br />