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SAN JOAQUIN COUNTY 16 <br />DATE g' I O -04PR# <br />ENVIRONMENTAL HEALTH DEPARTMENT PAGE fj <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name 1 G o(\. Facility Address x}31 VN,kscm 'NIA.n ��UC ,•,, <br />Facilty Contact P-1 hVu Q.1p� Title Phone # 1L1-1 " -1 3'JL# <br />UST# Product UST#Product UST#_Product UST# Product <br />Overfill Prevention: ❑ AudibleNisuu 1 ❑ Mechanical M"ba--PIPA4" Monitoring Panel: _fLIS ' 3 5 (D <br />Piping System: El Gravity B'Pressure ❑ Suction V"—V Violations:" 1 -RDet ❑ M2-Rprev ❑ M3 -Both <br />Automatic Pump Shut Down Satisfies CCR 2636 (5): ?-fes ❑ No Designated Ooerator: <br />INSPECTION TYPE: 5Koutine C31%onitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: NA-16APfUYN TECHNICIAN NAME: CA GkC* Y1$ PHONE: %DU. (,LPC . g443 <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secondary cont. testing <br />3 <br />CCR 2711(b) & (c) <br />Current State Forms A & B <br />4 <br />✓ HSC 25292.2 <br />Certification of financial <br />piping (pre -1/1/84) <br />responsibility & CFO letter <br />5 <br />CCR 2632 (c)(2) <br />UST monitoring is present (M1) <br />6 <br />CCR 2630 (d) <br />UST system monitoring <br />1998 upgrade of UST system <br />28 ✓ CCR 2661 <br />equipment is properly located to <br />29 HSC 25286 (a) <br />Permit to alter monitoring <br />detect a leak (M1) <br />7 <br />CCR 2637(b) <br />UST system monitoring <br />✓ <br />equipment is operational (M1) <br />8 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />32 HSC 25298 (c) <br />Permit to close UST system <br />for underground piping & UDC <br />UST system is operated to <br />is present (M1) <br />9 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />10 <br />✓ HSC 25291 (f) <br />flow to a collection sump <br />Line leak detector(s) (M1) <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for <br />Single wall component within <br />UST is tight <br />12 <br />CCR 2635 (b)(1) <br />Spill container (M2) <br />13 <br />HSC 25284.2 <br />Annual spill container testing <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system (M2) <br />15 <br />CCR 2631 (a) <br />Primary containment is product - <br />Violation(s) not listed above <br />tight <br />16 <br />CCR 2632 (d) <br />Monitoring & response plan <br />17 -7—CCR 2712 (i) <br />Monitoring & response plan is <br />18 <br />✓CCR 2712 (b) <br />on site <br />Maintenance & monitoring <br />records (M1) <br />19 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />20 <br />CCR 2630 (d) <br />Annual line leak detector test <br />(M1) <br />21 <br />CCR 2630 (d) <br />Annual monitoring certification <br />22 <br />CCR 2661 (f) <br />Repair for tank/piping has had <br />tightness test M2 <br />EHD INSPECTOR: <br />RECEIVED BY:/Il/rn <br />UNITIII/UST/INSP (rev 7/21/04) <br />23 CCR 2643 (d) <br />Daily monitoring of suction <br />piping (pre -1/1/84) <br />24 CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />25 CCR 2643 (e) <br />Biennial tightness test of gravit, <br />piping (pre -1/1/84) <br />26 CCR 2643 (d) <br />Triennial line test for <br />conventional suction (pre - <br />1/1/84) (M1) <br />27 CCR 2662 <br />1998 upgrade of UST system <br />28 ✓ CCR 2661 <br />Permit to repair UST system <br />29 HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />30 HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />31 HSC 25298 (b) <br />Permit to temporarily close LIS - <br />system <br />32 HSC 25298 (c) <br />Permit to close UST system <br />33 HSC 25292.1 <br />UST system is operated to <br />prevent unauthorized release <br />34 CCR 2650 <br />Recording/reporting <br />unauthorized release (M1) <br />35 ✓ HSC 25291 (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />36 CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />37 CCR 2635(a)(2)(A) Cathodic protection testing & <br />60 day inspection log (M2) <br />38 H&SC 25299(a)(9) <br />Disabling leak detect. Devices <br />39 CCR 2715(a) <br />Statement from UST owner <br />40 CCR 2715(c) <br />Monthly inspection by D.O, <br />41 CCR 2715 (f) <br />D.O. trained employees <br />42 <br />Violation(s) not listed above <br />TITLE: <br />