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A <br />SAN JOAQUIN COUNTY <br />RONMENTAL HEALTH DEPARTMENT <br />304 East#et er Avenue, 3rd <br />Floor, Stockton, CA 95202-217P <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/eh <br />UNDERGROUND STORAGE TANK (UST) PROGRAM <br />INSPECTION REPORT <br />Facility name: <br />I <br />Designated Operator: Inspection Date: <br />PA -M P.S Oil <br />O_V47\1 3-6*) 101 et (1) <br />Facility address: <br />Secondary containment test performed <br />UST # <br />"ALMQ 90A -P <br />CCR 2711 (b) & (c) <br />Product al <br />Facility Contact: Title: <br />Phone: eq cb) <br />Certification of financial responsibility and CFO letter <br />POIZ10 L -0W-7 <br />4lj–&2;7q- <br />CCR 2632 (c)Q(D) <br />Monitoring Panel: <br />10MO <br />Piping system: <br />I V�Iessurized El Suction <br />El Gravity <br />Overfill prevention: <br />lu4echanical El Audible/visual <br />Ins'ection ; type: <br />;RoutineP/Monitoring Certification 11 Installation <br />El Other: <br />Violations: <br />El M I -RDetect El M2-RPrev 0 M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V R1 <br />V=Violation; RV=Repeat Violation V <br />I <br />HSC 25284 <br />Permit tooperate <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 fbE2� <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />CCR 2632 (c)Q(D) <br />Monitoring & res2onse plan is current and filed with the local agency <br />6 <br />CCR 2712'(i) <br />Monitoring & resnse plan is onsite <br />1 <br />7 <br />CCR 2712 (b) <br />& monitoring records <br />(Mi) <br />8 <br />CCR 2643 (d) <br />-Maintenance <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to revent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />(Mi) <br />11 <br />CCR 2630 (dj <br />UST system monitoring equipment is properly located to detect a leak <br />(Mi) <br />112 <br />HSC 25291 1 (b) <br />UST system monitorina equil;nnent is 22erational <br />(M2) <br />13 <br />CCR 2636 (0(1) <br />Continuous monitoring system for underground j?i2ing & UDC is present <br />M2_ <br />14 <br />CCR 2631 (a <br />Pr i= containment is product ti ht <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is ti ht <br />16 <br />CCR 2 36 (c)(1) <br />All releases in second ar in flow to a collection sump <br />y pj2L <br />17 <br />HSC 25291 (D <br />Line leak detector(s) are installed <br />(Mi) <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) I <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 monitorinE & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & properly dis2osed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releasesI <br />(Mi) <br />23 <br />CCR 2715 <br />Desiggated Operator: (a) Statement from UST owner; (c -e) Monthly inspectio <br />raininiii�� g <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 252841 <br />Annual spill containment testinF, <br />27 <br />1 CCR 2636 4 <br />Annual line tightness test <br />i) <br />28 <br />29 <br />CCR 2661 (D <br />CCR 2643 (e) <br />Repair for tankl i ing, has had ti&ness test <br />Biennial tightness test of Eavity 2i2ina (pre -Janna a 1, 1984) <br />(M2) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping (pre -January 1, 1984) <br />(Mi) <br />,31 <br />HSC 25292.5 <br />Double wall system located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to reair UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to tLmporarily 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 />Illi al abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTOR: <br />PHONE: <br />3 <br />UIC <br />Septic system: <br />El Serves 2!20 people/day <br />E Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />RECEIVED BY: TITLE: 2 <br />F14D 23-02-002 <br />