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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' 304 EaR Weber Avenue,3`d Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj og v.or <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> lS <br /> Facility address: 7s-F# 7 1 , <br /> 3 Jpa Product <br /> Facility Contact: Title: Phone: <br /> Monitoring Mek Piping system: U Overfill prevention: <br /> T1. S 0 Pressurized ❑Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: ,,r �( t n,,. . Violations: <br /> ll"'�Routine [Monitoring Certification ❑Installation ❑Other: ❑M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R V=Violation;RV=Re eat Violation `, <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 )&(c) Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 27,12(i) Monitoring&response plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records Ml <br /> 8 CCR 2643(d) Daily monitoring of suction piping( re-January, 1„1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632;,(c)(2) UST monitoring system is present M1 <br /> I 1 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 b UST system monitoring equipment is operational M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631'a Primary containment is product tight <br /> 15 1 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636'`(c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detector(s)are installed Ml <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&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases Mi <br /> 23 CCR 2715 Designated O erator:(a)Statement from UST owner; (c-c)Monthly inspection; f)Em loyee training <br /> 2 CCR 2638 a Annual monitoring-'certification <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annual spill containment testin <br /> 27 CCR 2636 4 Annual line tightness test (MI) <br /> 28' CCR 2661,(f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of gravity piping(pre-January 1, 1984) <br /> 30 1 CCR 2643 d Triennial'_line test for conventional suction piping(pre-January 1, 1984) (Mi) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to°temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 1 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a) Illegal abandonment of UST system <br /> 38 Other: <br /> AE INSPECTOR: PHONE: SeUIC <br /> 2&9ptic system: <br /> Serves>_20 peo <br /> RECEIVED BY: TITLE: ❑Receives o than sanitary waste <br /> ��J�� Other dis methods: <br /> wells/French Drains <br /> F,HD 23-02-002 <br />