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I <br />SAN JOAQUIN COUNTY Alk <br />VONVIRONMENTAL REALTH-NEPARTMENT <br />304 Eak Weber Avenue, 3 d Floor, Stockton, CA 95202- 708 <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 />I <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V R1 <br />V=Violation; RV=Re2cat Violation V <br />Designated Oper tor: <br />Inspection Date: <br />�4vy) <br />2 <br />CCR 2637» <br />Seeond containment test performed <br />Facility ddress: <br />3 <br />CCR 2711 (b) & (c) <br />UST # <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />'15 <br />1 CCR 2632 (c)(2)(D) <br />Monitoring & response plan is current and filed with the local aEency <br />Vl,esel <br />6 <br />CCR 2712'(i) <br />Monitoring & re2onse plan is onsite <br />7 <br />Product <br />Maintenance & monitoring records <br />(NID <br />8 <br />Facility C t: <br />Con <br />t;fte:,, Phone: <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />III <br />CCR 2632 (c)(2) <br />UST monitorina ystern is present <br />(MI) <br />11 <br />CCR 2630 (d) <br />UST s stem monitoring equipment is properly located to detect a leak <br />Panel: <br />To <br />Piping system: <br />HSC 25291 <br />Overfill prevention: <br />,I;mg <br />1�to <br />01 1h 50 <br />Pressurized El Suction El Gravity <br />CCR 2636 (9(1) <br />XMechanical 11 Audible/visual <br />Idspection type: <br />114 <br />CCR 2631 (a) <br />Violations. <br />I Routine I Monitoring Certification El Installation 11 Other: <br />A <br />NMI-RDe tect D M2-R.Prev 11 M-3 Both <br /># <br />Code Section <br />I <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V R1 <br />V=Violation; RV=Re2cat Violation V <br />I <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637» <br />Seeond containment test performed <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Proram Consolidated Forms on file with EHD ffacility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />'15 <br />1 CCR 2632 (c)(2)(D) <br />Monitoring & response plan is current and filed with the local aEency <br />6 <br />CCR 2712'(i) <br />Monitoring & re2onse plan is onsite <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(NID <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 <br />CCR 2632 (c)(2) <br />UST monitorina ystern is present <br />(MI) <br />11 <br />CCR 2630 (d) <br />UST s stem monitoring equipment is properly located to detect a leak <br />(Mi) <br />12 <br />HSC 25291 <br />UST system monitoring equipment is 2perational <br />JM2) <br />13 <br />CCR 2636 (9(1) <br />Continuous monitoring system for underground 2i2inE & UDC is present <br />(Mi) <br />114 <br />CCR 2631 (a) <br />Primary containment is product tight <br />15 <br />HSC 25291 2A2 <br />Second n containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in second 2a Rting 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 Q2)(1) <br />SLill container <br />jM2 <br />19 <br />CCR 2635 b)(2) <br />Overfill prevention system <br />(N12) <br />120 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2' containment <br />21 <br />HSC 25291 (c) <br />Water in 2' containment analyzed & pro erly disposed of <br />,22 <br />23 <br />CCR 2650 <br />CCR 2715 <br />Recording/reporting of unauthorized releases <br />Designated 02erator: a) Statement from UST owner; (c -e) Monthly ins pectiori((f)ymployee traininE <br />,24 <br />CCR 2638 a <br />Annual monitorina certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(MI) <br />26 <br />HSC 25284.2 <br />Annual spill containment"testing <br />27 <br />28 <br />1 CCR 2636 <br />CCR 2661'(f) <br />Annual line tightness test <br />Re it for tank/piping has had tifhtness test <br />(MI) <br />(M2) <br />29 <br />30 <br />31 <br />CCR 2643 (e) <br />CCR 2643 (d) <br />HSC 25292.5 <br />Biennial tiEhtness test of Eavity pi2inre-January 1, 1984) <br />Triennial line test for conventional suction piping (pre-Janu2a 1, 1984) <br />Double wall system located within 1000' of gublic well-ELD <br />(MI) <br />32 <br />CCR 2661 <br />Permit to Le air UST system <br />33 <br />1 HSC 25286 (a) <br />Permit to alter monitoring system <br />34 <br />35 <br />HSC 25298 (b) <br />HSC 25298 (c) <br />Permit to tern orarily close UST satem <br />Permit to close UST system <br />,.36 <br />HSC 25299 (a) 9) <br />leak detection devices <br />37 <br />HSC 25298 (a) <br />_Disablin <br />Illegal abandonment of UST system <br />38 <br />Qthen <br />E <br />A d RIAM <br />R9 E Ell - Y <br />PHONE: <br />[4V� I V.% , <br />0 q <br />TITLE:' <br />UIC <br />Septic system: <br />Ij Serves �!20 people/day <br />Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French Drains <br />FHT) 21-02-002 <br />