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Facility name: <br />SAN JOAQUIN COUNTY <br />ONVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sjgov.org/eh <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Designated Operator: Inspection Date: <br />�m <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations v I ELI <br />V=Violation; RV=Repeat Violation V <br />I <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secon Jary containment test performed <br />FaciUy addr�ss: <br />glow <br />CCR 2711 (b) & �c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />Facility Contact: Title: Phone: <br />(till ot 5-1- 07 -101 <br />Certification of financial EEsgonsibility and CFO letter <br />Monitoring Pa el: <br />Piping system: <br />Overfill prevention: <br />jj <br />OA;jrj_Rr <br />�suded 0 Suction 11 Gravi!yatMechanical <br />0 Audiblelvisual <br />n pection pe: <br />1_��Iations: <br />�kltoutine11 <br />Monitoring Certification 11 Installation El Other: <br />EIM I -RDetect 11 M2-RPrev M-3 Both. <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations v I ELI <br />V=Violation; RV=Repeat Violation V <br />I <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secon Jary 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 />HSC 25292.2 <br />Certification of financial EEsgonsibility and CFO letter <br />5k4 <br />CCR 2632 (b) <br />Monitoring Pro am (Monitoring & Response Plan) is current and approved by the local Mency. <br />6 <br />CCR 2712 (i) <br />Monitoring plan is onsite. <br />-CCR 2712 (b) <br />&monitorin records <br />i) <br />8 <br />CCR 2643 (d) <br />-Maintenance <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST systern iso erated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />(Mi) <br />I I <br />CCR 2630 (d) <br />system monitoring equi2ment is property located to detect a leak <br />(Mi) <br />_1_2 <br />HSC 25291 (b) <br />_jj§j <br />UST system monitorin, e.ui. ment isoperational <br />(M2) <br />13 <br />CCR 2636 L <br />Continuous monitoring system for under- vi]2ing & UDC is present <br />(Mi) <br />14 <br />I 2631 (a) <br />-ound <br />Primary containment is product tight <br />15 <br />-CCR <br />HSC 25291 (a)(2) <br />Secondary containment for UST is ti ht <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondM in flow to a collection sum <br />17 <br />HSC 25291 (f) <br />Line leak detector(s) are installed <br />(Mi) <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 2i2ing shall have continuous monitoring & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & pro erly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />(Mi) <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthl, inspection; (f) Employee training <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Mi) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testin <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(MI) <br />28 <br />2661 (f) <br />Repair for tan i in has had tightness test <br />(M2) <br />29 <br />_CCR <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre -January 1, 1984) <br />30 <br />C <br />CCR 2643 (d) <br />Triennial line test for conventional(Mi) <br />31 <br />HSC 25292.5 <br />Double wall s stem located within 1000' of ublic well-ELD <br />32 <br />CCR 2661 <br />C <br />s sem <br />Permit to air UST s stem <br />0 air UST <br />33 <br />HSC 25286 (a) <br />o alter monitorm s stem <br />Permit to alter monitorin s stem <br />34 <br />1H <br />HSC 25298 (b) <br />Permit to tern oraril close UST s stem b V1 <br />to t oraril close UST s stem <br />35 <br />SC 25298 (c) <br />to :m <br />lose ST s stem <br />Permit to close UST s stem <br />3 <br />HSC 25299 (a)(9) <br />EIEHD <br />I Disabling leak detection devices <br />37 <br />HSC 25298 (a) <br />I Illegal- abandonment of UST system <br />38 <br />Other: <br />C <br />INSPECTOR: <br />f .1 <br />CEIVEb BYJ <br />PHONE: <br />-1" <br />(10 1 <br />TITLE: <br />AA j4QA <br />SWtic system: UIC <br />�7 Serves ?:20 people/day <br />L7, Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />EHD 23-02-002 REV 05/07 <br />