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DATE 7 /S <br />SAN JOAQUIN COUNTY PR# &9 <br />VIRONMENTAL HEALTH DEPARTAT PAGE <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name�>� Facility Address 13 3y E. �'oSem ifie, 4vc, f A/IsLko, <br />Facilty Contact &S � 4" Title byw, Phone # & dD <br />UST# Product$ - c- UST#-Productcl�UST#Product d'eJo'L-UST# Product <br />Overfill Prevention: ❑ AudibleNisuai )< Mechanical <br />Piping System: ❑ Gravity'Pressure ❑ Suction <br />Automatic_ Pump Shut Down Satisfies CCR 2636 (g): AYes ❑ No Dispenser Pan: <br />itoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />Monitoring Panel <br />Violations: <br />Ole 'f LS-7SL <br />❑ Minor XMajor <br />K,Yes ❑ No <br />INSPECTION TYPE: ❑Routine <br />COMPANY NAME: 1;cruluz-SA <br />CHNICIAN NAME: W <br />PHONE:LcfD$ )9-71 <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 (CCR): <br />on site <br />20 <br />CCR 2712 (b) <br />21 <br />1 V <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secondary cont testing (6 <br />/ <br />25 <br />month/36 month) <br />3 V <br />CCR 2711(b) & (c) <br />Current State Forms A & B <br />4—HSC 25292.2 <br />Certification of financial <br />/ <br />28 <br />responsibility and letter from <br />29 <br />HSC 25286 (a) <br />chief financial officer <br />5 <br />CCR 2630 (d) <br />Continuous monitoring system <br />32 <br />HSC 25298 (c) <br />for UST system <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />flow to a collection sump <br />7 <br />HSC 25291 (e) <br />Water in secondary (20) cont <br />8 <br />HSC 25291 (f) <br />Automatic line leak detector(s) <br />9 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />for underground piping <br />10 <br />CCR 2632 (c)(2) <br />Continuous monitoring system <br />for UST <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for <br />UST is tight <br />12 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />for dispenser system <br />13 <br />CCR 2635 (b)(1) <br />Spill container <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />15 <br />CCR 2631 (a) <br />Primary containment is product - <br />tight <br />16 <br />HSC 25292.1 <br />UST system is operated to <br />prevent unauthorized release <br />17 <br />CCR 2650 <br />Recording/reporting <br />unauthorized release <br />18 <br />CCR 2632 (d) <br />Monitoring & response plan <br />19 <br />CCR 2712 (i) <br />Monitoring & response plan is <br />on site <br />20 <br />CCR 2712 (b) <br />21 <br />CCR 2636 (f)(4) <br />22 <br />CCR 2630 (d) <br />23 <br />CCR 2630 (d) <br />24 <br />CCR 2643 (d) <br />25 <br />CCR 2636 (a) <br />26 <br />CCR 2643 (e) <br />27 <br />CCR 2662 <br />/ <br />28 <br />V CCR 2661 <br />29 <br />HSC 25286 (a) <br />30 <br />HSC 2529&(a) <br />31 <br />HSC 25298 (b) <br />32 <br />HSC 25298 (c) <br />33 <br />HSC 25291 (e) <br />34 <br />CCR 2640 (e) <br />Maintenance & monitoring <br />records <br />Annual line tightness test <br />Annual line leak detector t <br />Annual monitoring certific= <br />Daily monitoring of,suctior <br />piping that is not continuo: <br />monitored <br />Conventional suction pipir <br />shall have continuous <br />monitoring & 2° containm( <br />Biennial tightness test of c <br />piping that is not continua <br />monitored <br />Upgrade requirements for <br />system <br />Permit to repair UST syst, <br />Permit to alter monitoring <br />system <br />Illegal abandonment of U <br />system <br />Permit to temporarily clos: <br />system <br />Permit to close UST systr- <br />Water in 20 cont analyzes <br />properly disposed of <br />Single wall component wit. <br />1000' of Public Well, no E <br />35 CCR 2635(a)(2)(A) Cathodic protection testin <br />36 H&SC 25299(a)(9) Disabling leak detect. de'v <br />37 Violation(s) not listed abo <br />EHD INSPECTOR: �� �CV� PHONE: ( ZDV) 4b�6— -1i4% <br />RECEIVED BY: TITLE: <br />UNITIIUUST/INSP (rev 7/24/02) <br />