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SAN JOAQUIN COUNTY Z-04 99 3 - 3a I L <br />VIRONMENTAL HEALTH DEPARTMENT <br />304 Eas eber Avenue, 3`d Floor, Stockton, CA 95202- 8 <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: <br />Designated Operator: <br />Inspection Date: <br />/7 JOS <br />Facility address: <br />3o C. <br />LA L e— <br />UST # <br />Product <br />/ <br />Q� <br />3 <br />Facility Contact: <br />KeAAA 4 y- <br />Title: Phone: <br />CEa ZVI gZ5-037 z <br />Monitoring Panel: <br />Pipings stem: <br />ressurized El Suction El Gravity <br />�Overr prevegU W <br />2chanical �/� y ❑ Audible/visual <br />Inspection type: <br />R-iro—u—t�ine onitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ M1-RDetect ❑ M2 -"rev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tanV <br />form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 c 2 (D) <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 (i) <br />Monitorin.. & response plan is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />Ml <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction piping (re -January, 1, 984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />(Ml) <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak # <br />(M1 <br />12 <br />HSC 25291 <br />UST system monitoring equipment isoperational <br />M2) <br />13 <br />CCR 2636 (1) <br />Continuous monitoring system for underground piping & UDC is present <br />M1 <br />14 <br />CCR 2631 a <br />Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 <br />HSC 25291 (f) <br />Line leak detectors are installed <br />(Mi) <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2 <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />M2) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />Ml <br />23 <br />CCR 2715 <br />Designated 2Perator: (a) Statement from UST owner; (c onthly ins ection; <br />mplo ee tiai <br />24 <br />CCR 263$ a <br />Annual` monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Ml) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 4 <br />Annual line tightness test <br />(MI) <br />28 <br />CCR 2661 (f) <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 e <br />Biennial tightness test of gravity piping(pre-January 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial _line -test for conventional suction piping (pre -January 1, 1984) <br />(MI) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />-36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPE TOR: <br />PHONE: 8 <br />(/l _ '3 VVO <br />G G� <br />UIC <br />Septic system: <br />- Serves >_20 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />E. Dry wells/French Drains <br />�16CEIVED <br />11L4 <br />TITLE: <br />u <br />EHD 23-02-002 <br />