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SAN JOAQUIN COUNTY PR#E <br /> QVIRONMENTAL HEALTH DEPARTT PAGE / <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 202 <br /> r (209)468-3420 <br /> -� UNDERGROUND STORAGE TANK(UST)_PROGRAM INSPECTION REPORT <br /> Facility NametC. _Facility Address eineyc/ <br /> Facilty Contact Title � a _Phone # to-'7Vey X038 <br /> ST#_ProductUST# ProductV UST# ?,Product UST#/ Product <br /> Overfill Prevention: ❑Audible/Visuu 1 ❑ Mechanical Monitoring Panel: <br /> Piping System: ❑ Gravity ❑'Pressure ❑Suction Violations: C301T1-RDet ❑ M2-Rprev ❑ M3-Both <br /> Automatic Pump Shut Down Satisfies CCR 2636(f)(5): ❑Yes ❑ No Designated Operator: <br /> INSPECTION TYPE: ❑Routine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br /> COMPANY NAME: TECHNICIAN NAME: PHONE: <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 Permit to operate 23 CCR 2643 (d) Daily monitoring of suction <br /> 2 CCR 2637 Secondary cont. testing piping (pre-1/1/84) <br /> 3 CCR 2711(b) & (c) Current State Forms A& B 24 CCR 2636 (a) Conventional suction piping <br /> 4 HSC 25292.2 Certification of financial shall have continuous <br /> responsibility& CFO letter monitoring &20 containment <br /> 5 CCR 2632 (c)(2) UST monitoring is present(M1) 25 CCR 2643 (e) Biennial tightness test of gravit, <br /> 6 CCR 2630 (d) UST system monitoring piping (pre-1/1/84) <br /> equipment is properly located to 26 CCR 2643 (d) Triennial line test for <br /> detect a leak (M1) conventional suction (pre- <br /> 7 CCR 2637(b) UST system monitoring 1/1/84) (M1) <br /> equipment is operational (M1) 27 CCR 2661 Permit to repair UST system <br /> 8 CCR 2636 (f)(1) Continuous monitoring system 28 HSC 25286 (a) Permit to alter monitoring <br /> for underground piping & UDC system <br /> is present(M1) 29 HSC 25298 (a) Illegal abandonment of UST <br /> 9 CCR 2636 (c)(1) All releases in secondary piping system <br /> flow to a collection sump 30 HSC 25298 (b) Permit to temporarily close US- <br /> 10 HSC 25291 (f) Line leak detector(s) (M1) system <br /> 11 HSC 25291(a)(2) Secondary containment for 31 HSC 25298 (c) Permit to close UST system <br /> UST is tight 32 HSC 25292.1 UST system is operated to <br /> 12 CCR 2635 (b)(1) Spill container(M2) prevent unauthorized release <br /> 13—V'HSC 25284.2 Annual spill container testing 33 CCR 2650 Recording/reporting <br /> 14 CCR 2635 (b)(2) Overfill prevention system (M2) unauthorized release (M1) <br /> 15 CCR 2631 (a) Primary containment is product-;, 34 HSC 25291 (e) Water in 20 cont analyzed and <br /> tight properly disposed of <br /> 16 CR 2632 (d) Monitoring & response plan 35 CCR 2640 (e) Single wall component within <br /> 17 CCR 2712 (i) Monitoring &response plan is 1000' of Public Well, no ELD <br /> on site 36 CCR 2635(a)(2)(A)Cathodic protection testing & <br /> 18 CCR 2712 (b) Maintenance &monitoring 60 day inspection log (M2) <br /> records (M1) 37 H&SC 25299(a)(9)Disabling leak detect. Devices <br /> 19 CCR 2636 (f)(4) Annual line tightness test 38 CCR 2715(a) Statement from UST owner <br /> 20 CCR 2630 (d) Annual line leak detector test 39 CCR 2715(c) Monthly inspection by D.O, <br /> (M1) 40 CCR 2715 (f) D.O. trained employees <br /> 21 CCR 2630 (d) Annual monitoring certification 41 Violation(s) not listed above <br /> 22 CCR 2661 (f) Repair for tank/piping has had <br /> ti htnes test M2 <br /> EHD INSPECTOR: PHONE: . r-,N0 <br /> RECEIVED BY: TITLE: <br /> Septic System: 0 ery Z 20 persons/day 0 Receives other than sanitary waste <br /> Other Disposal Units Identified: 0 Dry wells/French Drains <br /> I:\Units\Unit-III\UST\UST inspection8.19.o4.D0C <br />