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SAN JOAQUIN COUNTY <br />ONMENTAL HEALTH DEPARTMENT MENT <br />OR <br />,304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2* <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: wwW.sjgov.orgLehd. <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V RI <br />V=Violation; RV=Repeat Violation V <br />Designated Operator: <br />Inspection Date: <br />velel Z -or -3 Q I fttoK 5 <br />2 <br />PAMM'f'N <br />0012, f 0 6 <br />Facility address: <br />3 <br />CCR 2711 (b) & (c) <br />UST# <br />4 <br />46D coww g7xee- Aq6m� <br />Certification of financial responsibility and CFO letter <br />Product <br />DI &CL <br />Facility Contact: Title: <br />Phone: <br />6 <br />CCR 2712 <br />Ptim'(p Let,>s coT&tAl <br />(MCI) <br />22CI-0-?,si <br />7 <br />CCR 2712 (b) <br />Monitoring Panel: <br />Piping system: Nwr V*ws) <br />8 <br />CCR 2643 (d) <br />Overfill prevention: <br />VIS TLS 'b Sty0 <br />Pressurized vsIction <br />0 Gravity <br />UST system isoperated to prevent unauthorized release <br />14fAechanical 5KAudible/visual <br />Inspection type: <br />CCR 2632 (c) 21 <br />UST.monftori ystent is present <br />Violations: <br />R.Routine [14onitoring Certification El Installation <br />11 Other: <br />UST system monitoring equipment is pro2crly located to detect a leak <br />11 M I -RDetect El M2-RPrev 11 M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V RI <br />V=Violation; RV=Repeat Violation V <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 Pro am 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 <br />(c)(2)(D) <br />Monitoring & res2onse Elan is current and filed with the local agency <br />6 <br />CCR 2712 <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(MI) <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction Liping (pre-JanuTy, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />to <br />CCR 2632 (c) 21 <br />UST.monftori ystent is present <br />(MI) <br />I I <br />CCR 2630 (d) <br />UST system monitoring equipment is pro2crly located to detect a leak <br />(Mi) <br />12 <br />HSC 25291 <br />UST system monitoring equipment is 21!gational <br />(M2) <br />13 <br />CCR 2636 (9(1) <br />Continuous monitoring system for underground piping & UDC is present <br />(MI) <br />14 <br />CCR 2631 (a) <br />Primary containment is product tight <br />15 <br />HSC 25291 a ) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636,(p)_(I) <br />All releases in secondary pi in Lg flow to a collection sump <br />17 <br />HSC 25291 (f) <br />Line leak detectors are installed <br />(MIJ <br />18 <br />CCR 2635 (b)(1) <br />Spill cbritainer <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />20 <br />CCR 2636 (a) <br />Conventional suction pipin&shall have continuous monitoring & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & 2roperly disposed of <br />22 <br />CCR 265,0 <br />Rec2rdin re ortin& of unauthorized releases <br />(Mi) <br />23 <br />CCR 2715 <br />Desioated 02erator: (a) Statement from UST owner; (c -e) Monthly inspection; f) ETRloyee training <br />24 <br />CCR MAW <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 />Annual. ,-ill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />28 <br />29 <br />CCR 2661 (f) <br />CCR 2643 (e) <br />Rej)ajr for tank/ pjping has had tightness test <br />Biennial tiLhtness test of gravit, , il:)ing (pjS:jana 1, 1984) <br />(N12) <br />30 <br />'CCR 2643 (d) <br />Triennial line test for conventional suction piping (pre-Janu2a 1, 1984 <br />— - ------ <br />(Mi) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of 2ublic 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 />34 <br />HSC 25298 (b) <br />Permit to temporarily close UST s)2!em <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 INSPECTOR: <br />b -Alk- <br />PHONE: <br />4R- Ci <br />UIC <br />Septic VLtenr. <br />Serves �!20 people/day <br />0 Receives other than sanitary waste <br />Other disposal methods: <br />0 Dry wells/French Drains <br />RMECVY: <br />TITLE: <br />C . c:> --k 9-� <br />FRD 23-02-002 <br />