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7 - <br />SAN JOAQUIN COUNTY <br />VIRONMENTAL HEALTH DEPARTMENT0 0 <br />304 Eas, Weber Avenue, 3d Floor, Stockton, CA.952102-T 08 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM <br />INSPECTION REPORT <br />Facility name: <br />Designated Operator: Inspection Date: <br />t-7 <br />KII-W (9-� 0 <br />to/vm-rL 41ok 1010)-7 <br />Facility address: <br />Secondary containment test performed <br />UST # <br />3 <br />CCR 2711 (b) & (c) <br />z <br />'Product <br />--'12 gL <br />Facility Contact: Title: <br />Phone: <br />5 <br />dL9P 0 A? <br />fty-11y)?7V &C 41 -7 6 -7 <br />7- <br />6 <br />Monitoring Panel: <br />Piping system: <br />Overfill prevention: <br />INC&Lj <br />I Vpressurized <br />[I Suction El Gravity <br />11 Mechanical El Audible/visual <br />Inspection type: <br />Daily monitoring of suction 1�ipjpg (RLcLJanu!Ty, 1, 1984) <br />Violations: <br />3woutine MMonitoring Certification <br />11 Installation El Other: <br />11 M I -RDetect 11 M2-RPrev [I M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V I R <br />V=Violation; RV=Repeat Violation V <br />HSC 25284 <br />Permit to o2erate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Pro am 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)(DL_ <br />Monit)ring & response plan is current and filed with the local agency <br />7- <br />6 <br />CCR 2712 i) <br />Monitoring & response plan is onsite <br />II <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(MI) <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction 1�ipjpg (RLcLJanu!Ty, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system iso2CTated to grevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monit2jn� system is present <br />(MI) <br />I I <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />(MI) <br />12 <br />HSC 25291 (b) <br />UST system equipment is operational <br />(M21 <br />13 <br />CCR 2636 (f)(1) <br />_monitoring <br />Continuous monitorins system for underground pi2ing & UDC is present <br />(Mi) <br />14 <br />CCR 2631 (a) <br />Primary containment is product tight <br />15- <br />-HSC 25291 a)(2) <br />Secondary containment for UST inti <br />16 <br />17 <br />CCR 2636 (c)(1) <br />HSC 25291 <br />All releases in second 2a piping flow to a collection sump <br />Line leak detector(s) are installed <br />(Mi) <br />18' <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2' containment <br />HSC 25291 (e) <br />Water in 21 containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />RecordingkeTorcin g of unauthorized releases <br />23 <br />CCR 2715 <br />Desi gnated22erator: (a) Statement from UST owner; (c -e) Monthly inspection; (f) Employee training <br />121 <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Mi) <br />26 <br />HSC 25284.2 <br />Annual 2ill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(Mi) <br />28 <br />CCR 2661 (D <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of Eavity 2iping (2re-Janus ry 1, 1984) <br />30 <br />CCR 2643''(d) <br />Triennial line test for conventional suctions in ( re -Ju -1, 1984) <br />R-_ <br />(MI) <br />31 <br />1 HSC 25292.5 <br />Double wall system located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to re air UST system <br />133 <br />HSC 25286 (a) <br />Permit to alter monitorinE system <br />34 <br />HSC 25298!2?) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />73-6 <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 />Other: <br />EHD INSPECTOR: PHONE: <br />*69 <br />RECEIVED BY: TITLE: <br />IAC6440�� <br />UIC <br />Septic system: El Serves �!20 people/day <br />5' Receives other than sanitary waste <br />er disposal methods: <br />Other Dry wells/French Drains <br />EHD 23-02-002 <br />