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• SAN JOAQUIN COUNTY + PR#E <br />ENVIRONMENTAL HEALTH DEPARTMENT PAGE L <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 V_ IM—wk W,.; Facility Address <br />Facilty Contact Title <br />UST# _k_ Products UST#_7,Product_I_L__UST#3�ProductQJeAgUST# Product <br />Overfill Prevention: ❑ AudibleNisual N&echanical Monitoring Panel: 1-1'S 3 <br />Piping System: 0 Gravityrisfies <br />ressure ❑ Suction Violations: .Minor ElMajors <br />Automatic Pum Shut Down Sa CCR 2636 ❑ Yes ❑ No Dis enser Pan: Yes ❑ No <br />INSPECTION TYPE: Routine NWonitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: TECHNICIAN NAME: PHONE: —)e7 tea! <br />hone # <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 />1 HSC 25284 <br />Permit to operate <br />2 CCR 2637 <br />Secondary cont testing (6 <br />21 CCR 2636 (f)(4) <br />month/36 month) <br />3/CCR 2711(b) & (c) <br />Current State Forms A & B <br />4V_HSC 25292.2 <br />Certification of financial <br />24 CCR 2643 (d) <br />responsibility and letter from <br />chief financial officer <br />5 CCR 2630 (d) <br />Continuous monitoring system <br />25 CCR 2636 (a) <br />for UST system <br />6 CCR 2636 (c)(1) <br />All releases in secondary piping <br />flow to a collection sump <br />7 HSC 25291 (e) <br />Water in secondary (2°) cont <br />8 HSC 25291 (f) <br />Automatic line leak detector(s) <br />9 CCR 2636 (f)(1) <br />Continuous monitoring system <br />27 CCR 2662 <br />for underground piping <br />10 CCR 2632 (c)(2) <br />Continuous monitoring system <br />28 CCR 2661 <br />for UST <br />11 HSC 25291(a)(2) <br />Secondary containment for <br />UST is tight <br />12 CCR 2636 (f)(1) <br />Continuous monitoring system <br />for dispenser system <br />13_\Z_CCR 2635 (b)(1) <br />Spill container <br />14 CCR 2635 (b)(2) <br />Overfill prevention system <br />15 CCR 2631 (a) <br />Primary containment is product - <br />33 HSC 25291 (e) <br />tight <br />16 HSC 25292.1 <br />UST system is operated to <br />34 CCR 2640 (e) <br />prevent unauthorized release <br />17 CCR 2650 <br />Recording/reporting <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />unauthorized release <br />18✓ CCR 2632 (d) <br />Monitoring & response plan <br />19CCR 2712 (i) <br />Monitoring & response plan is <br />on site <br />20 CCR 2712 (b) <br />Maintenance & monitoring <br />records <br />21 CCR 2636 (f)(4) <br />Annual line tightness test <br />22 ✓ CCR 2630 (d) <br />Annual line leak detector test <br />23 CCR 2630 (d) <br />Annual monitoring certification <br />24 CCR 2643 (d) <br />Daily monitoring of suction <br />piping that is not continuously <br />monitored <br />25 CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />26 CCR 2643 (e) <br />Biennial tightness test of gravity <br />piping that is not continuously <br />monitored <br />27 CCR 2662 <br />Upgrade requirements for UST <br />system <br />28 CCR 2661 <br />Permit to repair UST system <br />29 HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />30 HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />31 HSC 25298 (b) <br />Permit to temporarily close UST <br />system <br />32 HSC 25298 (c) <br />Permit to close UST system <br />33 HSC 25291 (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />34 CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />36 H&SC 25299(a)(9) Disabling leak detect. devices <br />37 <br />Violation(s) not listed above <br />EHD INSPECTOR: _ PHONE -.?-44 <br />RECEIVED BY: <br />UNITIII/UST/INSP (rev 7/24/02) <br />TITLE: 014n4 -r , <br />