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., SAN JOAQUIN COUNTY f. <br />ONVIRONMENTA'L HEALTH DEPARTMENT 1 <br />304 East Weber Avenue, 3rdTloor,, Stockton, CA 952024 -?708 <br />Telephone: (209) 468-3420 Fax: (209) 465--3433 Web: www.sj og v.or /g ehd u <br />U1N1)EKUKUUlND h'1'UKAUE '1'A1NK ( UMI PKUUIKAM 11NSPEU110IN KE+'PUK'1' <br />Facility name: <br />NE-vp 'fA�K <br />Designated Operators <br />l-tt�CS �jR-`fA�J ?DNNSttJ <br />Inspection Date: <br />10-11-07 <br />Facil'itty 440ce1s: UST # <br />t o? 4 v k(2-L-4tJ fL9 <br />Product <br />, <br />Facility Contact: <br />$�L`1A�.J <br />Title: Phone: <br />oNr►5os`1 (alb) -10" <br />Monitoring Panel• <br />Monitoring <br />CA 1J 'j 5 1 DDD <br />Piping system: Overfill prevention: <br />Pressurized ❑ Suction ❑ Gravity echanical ❑ Audible/visual <br />Inspection type: <br />Routine XMonitoring <br />Violations: <br />Certification ❑ Installation ❑ Other: ❑ Ml-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 V=Violation; RV=Re eat Violation V <br />1 <br />HSC 25284 <br />Permit to b te.- <br />2` <br />CCR 2637 <br />Secondary containment test `perfbnned <br />3 <br />CCR 2711 & 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 res onsibitit and CFO letter <br />5 <br />CCR 2632 c 2 D <br />Monitorin & response plan is current and filed with the local agency <br />6 <br />CCR 2712 .i <br />Monitoring & response lan'is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />Ml <br />8 <br />CCR 2643', (d) <br />Daily InDnitoring of suction piping (pre -January, 1, 1984 <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />CCR 2632' (c)(2) ,.. ' <br />UST monitoring system is present' <br />M1 <br />.11 <br />1 CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />MI <br />]2 <br />C 2529 ,,, T e " moi' " aapipment isoperational <br />13 <br />CCR 2636 1 <br />Continuous'-monitonng system for underground piping & UDC is 2resent <br />Ml <br />,14 <br />CCR 2631 a <br />Prinwy containment is roduct tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 <br />HSC 25291 <br />Line leak detectors are installed <br />Ml <br />18 <br />.: CCR 2635' 1 <br />'ill container-, <br />MZ <br />19 <br />CCR 2635 2 <br />Overfill prevention system <br />(M2 <br />20, <br />CCR 2636 (a) <br />Conventional suction piping'shall have continuous monitoring & 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />1 CCK 2650 <br />Recording/reporting of unauthorized releases <br />Mi <br />23 <br />CCR 2715 <br />Designated O erator: a Statement from UST owner; (c -e) Monthly inspection; <br />Employee training <br />24 <br />CCR 2638' a <br />Annual monitoring certification <br />25 <br />CCR 2638 a <br />Annual line leak detector test <br />Ml <br />2b <br />HSC 25284.2 <br />Annual spill containment testing <br />27 <br />CCR 2636 (f)(4)- <br />Annual line tightness test <br />Ml <br />281 <br />CCR 2661' <br />Repair for tank/piping has had tightness test <br />M2 `. <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity pipingre-Janus 1, 1984 <br />30 <br />CCR 2643; d <br />Triennial lime 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' <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <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 Other: <br />EHD INSPECTOR: PHONE: <br />1A11 l l <br />RECEIVED BY: t TITLE: <br />UIC <br />Septic System: <br />❑ Serves >_20 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />❑ Dry wells/French Drains <br />EHD 23-02-002 <br />