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&� SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 eh: sigov org/ehd/u iitiii.html UNDERGROUNDO+ PROGRAM O. . Facility name: ISOO 1) Facility address: Facility contact: Title: Phone. l'Yl /Vl lJ j -i 1- l Gfz Monitoring panel: _ Piping system: -0 V Pressurized ❑ Suction ❑ t Inspection type: '�Y��/ rVL_.i. Mnnitnrina Certification ❑ Installation ❑ Other: m 1 2 3 4 5 :d Operator: Exp. date: Inspection Date: UST # r Product overfill prevention: )(Mechanical ❑ Audible/visual ' _❑ M2-RPrev ❑ M-3 Both ICC Service Technician Exp. ®ate: Manufacturer's Training: v m =� x, . -7 /'7 /' a0A-� • 4 1 1,1110 1Z x -'2 a Code Section l i ) HSC=California Health & Safety Code; CCR=California Code of Regulations V R v -v niatinn RV=RP-nB2t Violation CCR 2637 CCR 2711 HSC 2529. CCR 2632 CCR 2712 7 i CCR 2712(b) No permit to operate Secondary containment: (a) test not performed; (e) test report not sub provided to the EHD at least 48 hours Prior to conducting the test & (c) Current Unified Program Consolidated Forms not on file with the EHD Current financial responsibility documents not on file with the EHD Monitoring Program (Monitoring & Response Plan) is not current or al 8 CCR 2643(d) 9 HSC 25292.1_ 10 CCR 2632(c)(2) • 11 CCR 2630(d) 12 HSC 25291(b) 13 CCR 2636(f)(1) 14 CCR 2631(a) 15 HSC 25291(a)(2 16 CCR 2636(c)(1) 17 HSC 25291(0 18 CCR 2635(b)(1) 19 CCR 2635(b)(2) 20 CCR 2636(a) • 21 HSC 25291(e) 22 CCR 2650 23a CCR 2715(a) 23b CCR 2715(b) 23c i CCR 2715(c), (d), (e) -1 23d i CCR 2715(f) thin 30 days; (f) test notification and tank form) the local Monitoring and/or response plan is not onsite Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'/z years, (M1) written performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; (2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring equipment, ground water elevations, or other test results; (6) results of inventory readings and reconciliations. Daily monitoring of suction piping (pre -January 1, 1984) not performed UST system is not operated to prevent unauthorized release, including spills and overfills Monitoring system is not present in the interstitial space of a double walled UST/piping (M1) UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity (MMI) UST system monitoring equipment is not operational Failed to maintain a continuous monitoring system for underground piping & UDC that to activates an (M1) audible and visual alarm or stops flow of roduct at the dispenser when it detects a leak Primary containment is not product tight Secondary containment for UST system is not tight All releases in secondary piping do not flow to a collection sump Line leak detector(s) not installed tM11 Spill container not installed, failed to contain a minimum capacity of five gallons, or failed to provide (M21 a means to keep the spill container empty Overfill prevention system was overridden or failed to meet overfill requirements in this section (M2, Failed to have secondary containment or continuous monitoring (includes conventional suction piping) Water in 21 containment not removed, analyzed & properly disposed of Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1', was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of product was not reported to the EHD within 24 hours Failed to inform the EHD of a change of designated operator within 30 days Designated operator did not possess a current ICC UST System Operator certification Designated operator monthly inspection: (c)(1) alarms not documented; (c)(2-4) spill containers, UDCs, and sumps (if necessary) not inspected; (c)(5) required test dates not checked or noted; (c)(6) employee training not verified; (d)(e) month!y inspection reports not maintained on site for at least 12 months Designated operator employee training: (1) not performed; (2) not current for at least one employee on site; (3) not ke t e+r e+e- ea rc rs. esti. TITLE: Page 1 UST INSPECTION REPORT