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SAN JOAQUIN COUNTY 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/�ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Des ted Opterator: Inspecti I ate: <br /> 'of?zx 4? <br /> Facility address: UST# , 7- <br /> 1 (b tJ hoj 'Product <br /> Facility Contact: Title: Phone: <br /> tj 2 2 3C4C4 <br /> –Wonitorinj Panel: Piping system: Overfill prevention: <br /> )A <br /> 00 <br /> 1�k <br /> sinized 11 Suction 0 Gravi!y ❑Mechanical edible/visual �4 f serf <br /> T 19 To I ua <br /> Inspection type: Violations: <br /> El Routine )Lmonitoring Certification El Installation El Other: El M I-RDetect XM2-RPrev El M-3 Both <br /> # Code Section VIOLATION(S) HSC=California Health&Safety Code;CCR=Califomia Code of Regulations V <br /> R <br /> I V=Violation;RV=R22cat Violation V <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secon IM containment test performed <br /> 3 CCR 2711 (b)& c) Current Unij]edPro 2 Er-Consolidated Forms on file with EHD(Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial reseonsibility and CFO letter <br /> 5 CCR 2632(b) Monitorin Proram(Monitorina&Response Plan)is current and approved by the local agency. <br /> 6 CCR 2712 i) Monit)ring plan is onsite. <br /> 7 CCR 2712(b) Maintenance&monitoring records <br /> 8 CCR 2643(d) Daily monitoring of suction 2i2inre-Janua!j, 1, 1984) <br /> 9 HSC 25292.1 UST sXstem isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)12) UST monitoring system is present (M1) <br /> I I CCR 2630(d) UST system monitorinE equi2ment is 2roperly located to detect a leak (M 1) <br /> 12 HSC 25291 b) UST system monitorEijaa 'gMEaLL <br /> _2gal s2perational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is 2resent (M 1) <br /> 14 CCR 2631 a) Primary containment is product ti ht <br /> 15 HSC 25291 a(2) Secondary containment for UST is ti ht <br /> 16 CCR 2636 c) 1) All releases in secondary pi2inflow to a collection sum2 <br /> 17 1 HSC 25291 Line leak detectors are installed (M1) <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed k properly disposed of <br /> 22 CCR 2650 Recordinre2orting of unauthorized releases (MI) <br /> 23 1 CCR 2715 Desianated gperator:(a)Statement from UST owner; (c-e)Monthly inspection,(f) Employee trainin� <br /> 24 CCR 2638(a) Annual monitorina certification <br /> 25 CCR 2638(a) Annual line leak detector test (M1) <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 277— CCR 2636(D 4) Annual line tightness test (M1) <br /> 28 CCR 2661 (f) Repair for tank/piping has had tihtness test (M2) <br /> 29 1 CCR 2643(e) Biennial tightness test of gravity piping(Ere-January 1, 1984� <br /> 30 CCR 2643(d) Triennial line test for conventional suction pipin ( re-Januaa 1, 1984) (M1) <br /> 31 HSC 25292.5 Double wall system located within 1000'of 2ublic well-ELD <br /> 32 CCR 2661 Pen-nit to repair UST system <br /> 33 HSC 25286 a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temeorarily close UST system <br /> 35 1 HSC 25298 c) Permit to close UST system <br /> 36 HSC 25299(a)9) Disabling leak detection devices <br /> 37 HSC 25298(a) llleaal abandonment of UST system <br /> 38 Other: <br /> EHD NSPECTOR: PHONE: UIC <br /> AS t <br /> Lo CLQ tic stem: <br /> Sery ��!20 people/day <br /> sanitary <br /> RECEIVED Pf: TITLE: Receive her than sanitary waste <br /> is <br /> Other disposal met s: <br /> FSC D wells/ <br /> wells r <br /> Dry /French ins <br /> EHD 23-02-002 REV 05/07 <br />