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0 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT ll -d5 trot <br />600 East Main Street, Stockton, California 95202- :�Ilgov.org/ehd <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 We wwt'�'if;ov.or eehd <br />o1,N �oriTa i1-09 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INNSPECTION REPORT <br />Facility name: <br />Tif 5N <br />Designated Opera or: <br />w7_ <br />U"Y" c�ibis <br />T N'!�= -cu <br />Inspection Date: <br />7 J u8 <br />Facility address: <br />L,5r,,- <br />V � AALA J CA <br />UST # <br />Product <br />" <br />Facility Contact: <br />Phone: qt f -0402 <br />" <br />Monitoring Panel: <br />Piping system: t v¢, �1V� ve WN <br />Pressurized Suction I ' ❑ Gravit 1 <br />Overfill prevention: jj, <br />Mechanical ❑ Audible/v`�sl <br />Inspection type: <br />Routine �fhlonitoring <br />Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ M1-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />`, <br />I <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 tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter m., <br />5 <br />CCR 2632 b <br />Monitoring Program(Monitoring & Response Plan) is current and approved by the local agency. <br />6 <br />CCR 2712 (i) <br />Monitoring plan is onsite. C's( <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />(M1) <br />8 <br />CCR 2643 d <br />Daily monitoring of suction piping (pre -January, 1, 1984) <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 />(M1) <br />I 1 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />M 1) <br />12 <br />HSC 25291 b <br />UST system monitoring equipment isoperational <br />(M2) <br />13 <br />CCR 2636 (t)(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 <br />Line leak detectors are installed <br />M1 <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 />Record in /re orti ng of unauthorized releases <br />(M1) <br />23 <br />CCR 2715 <br />Desi nated Operator:$6-Statement from UST owner; c -e Monthl inspection; m to ee training <br />24 <br />1 CCR 2638 a <br />Annual monitoring certification 7- -67 <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test - IL -0-7 <br />(M1) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing 2 - - - -7 <br />27 <br />CCR 2636 4 <br />Annual line tightness test <br />M1) <br />28 <br />CCR 2661 ( <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 e) <br />Biennial tightness test of gravity pipingre-Janus I, 1984 <br />30 <br />CCR 2643 d) <br />Triennial line test for conventional suction piping (re -Janus 1, 1984) <br />(M1) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' ofpublic 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 />IIlegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTO7j,,j,, <br />PHONE: �� / <br />lJ <br />She UIC <br />tic system: <br />- Serves >_20 people/day <br />- Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />RECEIVED BY: <br />TITLE: <br />v vv <br />EHD 23-02-002 REV 05/07 <br />