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v <br /> SAN JOAQUIN COUNTY <br /> 1ANVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax. (209)468-3433 Web:www.sjgoy.org�ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> Facility <br /> rue' <br /> F 7 <br /> I Ar I I %u �elyqf <br /> —7 <br /> pAcility apdress: UST# <br /> U40101 Product <br /> Facility Contact: Title: Phone: <br /> 6 e, <br /> hfilllln".46 S& 40*U <br /> I I I _T <br /> M storing Pinel:I Piping system: Overfill prevention: <br /> rized WSuction El Gravity solations: <br /> Routine <br /> )(Audible/visual <br /> .ti..s <br /> Inspection type: iolations: <br /> Routine Monitoring Certification [I Installation El Other: 0 M I-RDetect D M2-RPrev 0 M-3 Both <br /> VI HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V=Violation;RV= eat Violation V I <br /> I HSC 25284 Permit to operate <br /> 3k2 CCR 2637 Secondary containment test2e��ed <br /> CCR 2711 (b)&(c) Current Unified Pro am Consolidated Forms on file with EHD ffacility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> --3— CCR �� Monitoring Pro am(Monitoring&Response Plan)is current and approved bX the local agency. <br /> 6 CCR 2712(i) Monitoring plan is onsite. <br /> CCR 2712(b) Maintenance&monitoring records jM1) 1 1 <br /> 8 CCR 2643(d) Daily monitoring of suctioni <br /> _pting(pre-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632 c)(2) UST moni (Mi) <br /> 11 CCR 2630 d UST s stem monitorin ui mentis ro erl located to detect a leak (Mi) <br /> I SC 25291 (b) UST system monitoring eq ional (M2) <br /> I CCR 2636(f)(1) Continuous <br /> I – --(m-1) <br /> 14 CCR 263!_(L)_ Primary containment is product tight <br /> 15 1 HSC 25291 (a)(2) -Secondary containment for UST is tight <br /> [16 CCR 2636(c)(1) All releases in secondary piping flow to a collection sumE <br /> I HSC 25291 (f) Line leak detector(s)are installed (Mi) <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2) <br /> 2 <br /> 14N <br /> CCR 2636(a) Conventional suction piping shall have continuous monitoring&2'containment <br /> 20 <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&properly disposed of <br /> CCR 2650 Recordingraorting of unauthorized releases (Mi) <br /> 23 CCR 2715 DesiEnated Operator:(a)Statement from UST owner; (c-e)Pdonthl- inspection;(f)Employee traininE <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 26 1 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of Fravi. .iping(pre-January 1, 1984) 1 <br /> N0 _CCR 2643(d) Triennial line test for conventional suction piping(pre-January 1, 1984) (Mi) <br /> 31 HSC 25292.5 Double wall system located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to tem2orarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) I Illegal abandonment of UST system <br /> 38 Other: <br /> 7, 13 INSPECTOR: 'PHONE: UIC <br /> Septic system: <br /> trl, <br /> Wl I 1 7 Serves�t20 people/day <br /> REEIVE B T LE: I'Receives other than sanitary waste <br /> Other diMsal methods: <br /> 71 Dry wells/French Drains <br /> EHD 23-02-002 REV 05/07 <br />