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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.orgh <br />UNDERGROUND STORAGE TANK (ITST) PROGRAM INCPF.rTION REPORT <br />Facility name: <br />t�c�r- wlh�cQs <br />D� <br />Designated Operator: <br />ea r,-. A <br />Inspection Date: <br />Facility address: <br />l12 L <br />44 Jr k.4- w w.e <br />UST # <br />Product <br />/� 7 <br />aa <br />Facility Contact: <br />Title: Phone: <br />Z 0 4) - n2- — Z5 <br />' <br />, <br />onito� Pane <br />G. <br />Piping system: <br />ressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />echanical ❑ Audiblelvisual <br />Inspection type: <br />*Mtoutine -*Aonitoring <br />Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect 0'M2-RPrev <br />- ❑ M-3 Both <br /># Code Section <br />VIOLATION($) HSC=California Health& Safety Code; CCR=Califomia Code of Regulations <br />_ <br />V=Violation; RV=Re eat Violation <br />' �` 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 <br />5 <br />CCR 2632 6 <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. <br />7 <br />1 CCR 2712 b <br />Maintenance & monitoring records <br />Ml <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 CCR 2632 (c)(2) <br />UST monitoring system is present <br />(MI) <br />I I <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />M1 <br />12 HSC 2 291 b <br />UST system monitoring equipment isoperational <br />(M2) <br />13 1) <br />14 CM -Z631 a) <br />LwIMP f)2onitotAtysternjaun r nd illidtUDE is present <br />IrrfiiiKcontainment is rodu tight,' V I V � <br />M1 <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 CCR 2636 (c)(1) <br />All releases in secondary piping flow to a collection sum <br />17 HSC 25291 <br />Line leak detector(s) are installed <br />M1 <br />18 <br />1 CCR 2635 (b)(1) <br />Spill container <br />(M2 <br />19 1 CCR 2635 (b)(2) <br />Overfill prevention system <br />M2) <br />20 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 />Recording/reporting Recording/reportingof unauthorized releases <br />M1 <br />23 <br />CCR 2715 <br />DesignatedOperator: (a) Statement from UST owner; (c -e) Monthly inspection; f) Employee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />1 CCR 2638 a) <br />Annual line leak detector test <br />(M1) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <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 a <br />Biennial tightness test of gravity pipingre-Janua _ '1, 1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (ore-January1, 1984) <br />,(M1 <br />31 <br />1 HSC 25292.5 <br />Double walls stem located within 1000' of public 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 />1"', <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 />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSP <br />L22L.,, <br />PHONE: <br />Q d <br />I Lla442, X 1 Q <br />UIC <br />Septic system: <br />'- Serves >_20 people/day <br />- Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />RECEIVE BY: <br />TITLE: <br />EHD 23-02-002 REV 05/07 <br />