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SAN JOAQUIN COUNTY <br />INVIRONMENTAL HEALTH, DEPARTMEN <br />304OtWeber Avenue, YdTloor, Stockton; CA 9520 08 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: vvww.sj og v.org[ehd <br />s <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />"Facility <br />DS S 0�'' ar`'i <br />Designated Operator: <br />��ni S PUtikYL <br />Inspection Date: <br />`7/z`�'��; <br />Facility address: <br />UST #' <br />Product <br />UA).L <br />Viz. <br />Facility Contact: Title.: r Pherie, <br />!`� `� � � v �., �'e /1... �(,�-f , Mcg L •���- P� _ j} � Z.: <br />Moniring Panel:Piping <br />?L <br />system: <br />❑ Pressurized Suction ❑ Gravity <br />Overfill prevention: <br />Mechanical ❑ Audible/visual <br />Inspection type: <br />Routine jVlonitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ M1-RDetect ❑ M2-RPrev ❑ M-3 Both <br />VIOLATIONS) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br /># Code Section V <br />V=Violation; RV=Re eat Violation <br />1 HSC 25284 Permit tooperate <br />2 CCR 2637 -Secondary containment test °' erformed <br />` <br />3 CCR 2711 b) & c Current Unified Pro am Consolidated Forms on file with EHD (Facility and tank form) <br />4 HSC 25292.2. Curti cation of financial ibility and CFO letter <br />5 CCR 2632 c 2 D Monitoring & response plan is current and filed with the local agency <br />6 CCR 2712 .i 'Mon itorin ` & res onse lan is onsite <br />te (MI) <br />CCR 2712 (b) Mail <br />CCR 2643 d) D7 mon itorinmof suction pipinonitoring g <br />8 (pre -January, 1, 1984) <br />9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br />'10 CCR 2632 c 2 UST monitoring s stem is present M1 <br />11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak Ml <br />l2 HSC 25291 UST system monitoring equipment is operational M2 <br />13 CCR 2636 f)(1) Continuous monitoring system for under ound piping & UDC is present Ml <br />14 CCR 2631 a Primary containment is product tight <br />15 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 (f) Line leak detectors are installed Ml <br />18 CCR 2635 (b)(1) Spill container (M2) <br />19 CCR 2635 (2) Overfill prevention system (M2) <br />20 CCR 2636 (a) Conventional suction piping shall have continuous monitoring & 20 containment <br />21 HSC 25291 (e) Water in 20 containment analyzed & properly disposed of <br />22 . CCR 2650 Recon'lin r itin' of unauthorized releases 1 <br />23 7CCR 2715 DesignatedOperator: a Statement from UST owner; (c -e) Monthly inspection; (f) Employee training <br />24 CCR 2638 a) Annual monitorin certificati6h <br />25 CCR 2638 (a) Annual line leak detector test (MI) <br />26 HSC 2.5284.2 Auttuai. ill containment .t s <br />` 27 CCR 2636 4 Annual line tightness test (MI) <br />'', 28 CCR 2661 Repair for tank/ • i in *,bad tightness test (M2) <br />'29 CCR 2643 a Biennial tightness test ofavit i in (pr -January 1, 1984) <br />30 CCR 2643 (d Triennial line test for conventtonal. suction piping (re -Jana 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 LIST system <br />33 HSC 25286 a Permit to alter monitoring system <br />34 HSC 25298 Permit totemporarily close UST system <br />35 HSC 25298 (c) Permit to close UST system <br />HSC 25299 (a)(9) Disablingleak detection devices <br />L36 <br />37 HSC 25298 a) illegal abandonment of UST system <br />38 Other: <br />EHD INSPECTOR: <br />a V (3 t L>' <br />PHONE: / <br />'-1 � Ll <br />UIC <br />Se tic ste <br />❑ S people/day <br />❑ Recei s other than sanitary waste <br />Other dis 1 -methods: <br />❑ We11sYFrench Drains <br />RE�EIVE BY: <br />---- <br />,��--' �•----.-�.._—. <br />TITLE: <br />r ��, .-..=. ' < ' �.< <br />F.HD 23-02-002 <br />