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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.org/�ehd <br />Facility name: <br />Designated Operator: <br />ram r.w <br />Inspection Date: <br />70o/o <br />Facility address: <br />16 1-2, <br />L5�' <: <br />UST # <br />7 <br />Product -7 <br />V <br />eV <br />Facility Contact: <br />Title: Phone: <br />Monitoring Panel: <br />-:�' <br />Piping system: <br />I essurized El Suction El Gravity <br />Overfill prevention: <br />VMechanical El Audible/visual <br />6 <br />Inspection type: <br />)4outine -)idAonitoring <br /># Code Section <br />Violations: <br />Certification 0 Installation El Other: El M I -RDetect 0 M2-RPrev <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Repeat Violation <br />El M-3 Both <br />V R <br />V <br />I <br />HSC 25284 <br />Permit too2erate <br />2 <br />CCR 2637 <br />Seconds a containment test 2erfonned <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 res2onsibility and CFO letter <br />5 <br />CCR 2632 b) <br />Monitoring Pro ram IMonitoring & Response Plan) is current and approved by the local aency. <br />6 <br />CCR 2712 (i) <br />Monitorin1an is onsite. <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />LM 1) <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction piping (pre-Janua!j, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST s stem isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is 2resent <br />(Mi) <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />(M1) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equipment isoperational <br />(N12) <br />13 <br />CCR 2636 (n(I <br />Continuous monitoring system for under round 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 ti ht <br />16 <br />CCR 2636 c)(I) <br />All releases in secondary piping flow to a collection sum2 <br />17 <br />HSC 25291 (D <br />Line leak detector(s) are installed <br />18 <br />CCR 2635 (b)(1) <br />S2ill container <br />(M2) <br />19 <br />CCR 2635 lb)(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 />1 HSC 25291 (e) <br />Water in 2' containment analyzed & 2ro2erIX dis2osed of <br />22 <br />CCR 2650 <br />Recordin/re 2ortinE of unauthorized releases <br />(M 1) <br />23 <br />CCR 2715 <br />Designated 02erator: (a) Statement from UST owner; (c -e) Monthly inspection; (f) Em2loXee training <br />24 <br />CCR 2638 (a) <br />Annual monitorinE certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(M1) <br />26 <br />HSC 25284.2 <br />Annual s2ill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />28 <br />CCR 2661 (1) <br />Repair for tank/ 2i2inE has had tihtness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre-Januaa 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction 2i]2ing (re-Janu2a 1, 1 )84) <br />(M1) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of2ublic well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring sXstem <br />34 <br />HSC 25298 1b) <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 Other: <br />EHD INSPFIWMM: <br />RECEIVE By, - -A <br />PHONE: <br />—z? <br />TITLE: <br />C r-1 <br />UIC <br />Septic sysin <br />tem: <br />- Serves 2:20 people/day <br />- Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />EHD 23-02-002 REV 05/07 <br />