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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.sjgov.org/ehd <br />Facility name: <br />G�s <br />54A <br />Designated Operator: <br />Inspection Date <br />Facility address: <br />Z2 S1 C—�e'O (C-5�— LOW-- A <br />UST # <br />Product <br />Facility Contact: Title: Phone: <br />Levn,J- 12-o&1a6 <br />Monitoring Panel: 1 <br />- GY6.1. -J <br />Piping system: <br />Pressurized U Suction 0 Gravity <br />Overfill prevention: <br />'Mechanical D Audible/visual <br />Inspection type: I Violations: <br />Routine -Monitoring Certification El Installation El Other: El M I -RDetect XM2-RP,e,, <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations <br /># Code Section V=Violation; RV=Re2eat Violation <br />HSC 25284 Permit too2erate <br />rI2 <br />El M-3 Both <br />R <br />V <br />CCR 2637 <br />Second2a containment test performed <br />3 <br />— <br />CCR 2711 (b) & c) <br />Current Unified Proram Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial res2onsibilitz and CFO letter <br />5 <br />CCR 2632 (b) <br />Monitoring Pro ram Monitoring & Response Plan) is current and I22proved 2 b thSellocal aenc al a <br />2E_y <br />6 <br />CCR 2712 (i) <br />_vy.M <br />Monitoring plan is onsite. <br />7 <br />CCR 2712 b) <br />Maintenance & monitorinrecords <br />(Mi) <br />8 <br />CCR 2643 d) <br />Daily monitoring of suction)i <br />R�Rin (re-JanuajX, 1, 1984) <br />9 <br />10 <br />1 HSC 25292.1 <br />CCR 2632 (c)(2) <br />UST system isoperated to prevent unauthorized release <br />UST monitorina sXstem is present <br />(M1) <br />11 <br />CCR 2630 (d) <br />UST system monitonin e u, ----1 is ro erl located to detect a leak <br />(M1) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equipment iso2erational <br />(M2) <br />13 <br />CCR 2636 l) <br />Continuous monit !t211yLt m �for under round i2ina & UDC is present <br />14 <br />CCR 2631 a) <br />Primary containment is product tiht <br />15 <br />1 HSC 25291 a <br />Seconds EZ containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in seconds !j 2i2ina flow to a collection sum2 <br />17 <br />18 <br />HSC 25291 <br />CCR 2635 b)I) <br />Line leak detectors are installed <br />Spill container <br />(M2) <br />19 <br />CCR 2635 b)(2) <br />Overfill 2revention sXstem <br />(M2) <br />20 <br />21 <br />22 <br />23 <br />CCR 2636 (a) <br />HSC 25291 (e) <br />CCR 2650 <br />CCR 2715 <br />Conventional suction 2i2ina shall have continuous monitorin & 2' containment <br />Water in 2' containment analyzed & properly disposed of <br />Recordi/re lorting of unauthorized releases <br />Desianated Operator: (a) Statement from UST owner; (c -e) Monthly inspcction; (t) Employee training <br />(M1) <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />25 <br />CCR 2638 a) <br />Annual line leak detector test <br />(M 1) <br />26 <br />HSC 25284.2 <br />Annual s2ill containment testin <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(M1) <br />28 <br />CCR 2661 f) <br />Repair for tank/ i in has had tightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre-JanuaEz 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction 2i2inre-Januaa 1, 1984) <br />(MI) <br />31 <br />32 <br />HSC 25292.5 <br />CCR 2661 <br />Double wall sXstem located within 1000' of 2ublic well-ELD <br />Permit to repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Pen -nit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 (a) <br />I Illegal abandonment of UST system <br />38 <br />Other: <br />I <br />Mn <br />M <br />EHI) 23-02-002 REV 05/07 <br />PHONE: UIC <br />Semtic <br />ep _ Serves �!20 people/day <br />TITLE: - Receives other than sanitary waste <br />Other disposal methods: )�� - Dry wells/French Drains <br />