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C41 � � S DATE -71,1102 <br />G r 0SAN JOAQUIN COUNTY PR# <br />ENVIRONMENTAL HEALTH DEPART ENT PAGE f o <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />2 <br />3 <br />4 <br />I p <br />.chief financial officer <br />5 CCR 2630 (d) Continuous monitoring system <br />for UST system <br />6 CCR 2636 (c)(1) All releases in secondary piping <br />flow to a collection sump <br />7 HSC 25291 (e) Water in secondary (20) cont <br />8 HSC 25291 (f) Automatic line leak detector(s) <br />9 CCR 2636 (f)(1) Continuous monitoring system <br />for underground piping <br />10 CCR 2632 (c)(2) Continuous monitoring system <br />for UST <br />11 HSC 25291(a)(2) Secondary containment for <br />UST is tight <br />12 CCR 2636 (f)(1) Continuous monitoring system <br />for dispenser system <br />13 CCR 2635 (b)(1) Spill container <br />14 CCR 2635 (b)(2) Overfill prevention system <br />15 CCR 2631 (a) Primary containment is product - <br />tight <br />16 HSC 25292.1 UST system is operated to <br />prevent unauthorized release <br />17 CCR 2650 Recording/reporting <br />unauthorized release. <br />18 V CCR 2632 (d) Monitoring & response plan <br />19�CCR 2712 (i) Monitoring & response plan is <br />on site <br />e,�ry ¢ VrvraJ Facility Address L{ 3 #7. <br />Facility Name <br />Phone # 112 -?3 Lt <br />Facilty Contact r 1 tJ4v' S 1,1c Title 0 wn92 <br />UST# _ Product UST# Product UST# Product UST# _. Product <br />Overfill Prevention: ❑ AudibleNisual ❑ Mechanical Monitoring Panel:Violations: <br />Piping System: ❑ Gravity ❑ Pressure ❑ Suction <br />t' f' s CCR 2636 : ❑ Yes [I No Dis eraser Pan: <br />❑ Minor ❑ Major <br />E) Yes ❑ No <br />Automatic Pum Shut Down Sa is ie <br />INSPECTION TYPE: outine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: <br />TECHNICIAN NAME: PHONE: <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 (CSR): <br />Permit too operate 20 v CRR22712 (b) Maintenance & monitorin <br />HSC 25284 Perm p records <br />CCR 2637 Secondary cont testing (6 21 V 2636 (f)(4) Annual line tightness test <br />01 month/36 month) <br />V CCR 2711(b) & (c) Current State Forms A & B 22 CCR 2630 (d) Annual line leak detector <br />23 CCR 2630 (d) Annual monitoring certifi <br />HSC 25292.2 Certification of financial 24 CCR 2643 (d) Daily monitoring of sucti <br />es onsibility and letter from t f <br />DA <br />EHD INSPECTOR' <br />MR WT <br />�N <br />iv—WA ISTANSP (rev 31`102) <br />9 <br />test <br />cation <br />on <br />piping that is no Cu" inuously <br />monitored <br />25 CCR 2643 (d) Triennial tightness test of <br />suction piping that is not <br />continuously monitored <br />26 CCR 2643 (e) Biennial tightness test of gravi <br />piping that is not continuously <br />monitored <br />27 CCR 2662 Upgrade requirements for US' <br />system <br />28 CCR 2661 Permit to repair UST system <br />29 HSC 25286 (a) Permit to alter monitoring <br />system <br />30 HSC 25298 (a) Illegal abandonment of UST <br />system <br />31 HSC 25298 (b) Permit to temporarily close W <br />system <br />32 HSC 25298 (c) Permit to close UST system <br />33 HSC 25291 (e) Water in 20 cont analyzed an• <br />properly disposed of <br />34 CCR 2640 (e) Single wall component within <br />1000' of Public Well, no ELD <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />36 H&SC 25299(a)(9) Disabling <br />leak <br />notletectsted above <br />37 <br />• ' Wff +d <br />