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9 <br />SAN JOAQUIN COUNTY 46 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3ra Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.orgZehd <br /># <br />UNDERGROUND STORAGE TANK (UST) PROGRAM <br />INSPECTION REPORT <br />Facility name: <br />1 <br />HSC 25284 <br />Designated Operator: Inspection Date: <br />2 <br />CCR 2637 <br />Secondaty containment test performed <br />Facility address: <br />3 <br />CCR 2711 b & c <br />UST # <br />4 <br />uKtzud- 0A <br />Certification of financial -responsibility and CFO letter <br />5 <br />CCR 2632 c 2 D <br />Monitoring & res onse plan is current and filed with the local agency <br />Product <br />CCR 2712 i <br />Facility Contact: <br />ji Title: Phone: <br />7 <br />CCR 2712 b <br />Maintenance & monitorin records <br />Ml <br />°- -y <br />Ii - <br />Daily monitoring of suction 2ipin(2re-January, 1, 1984 <br />Monitoring Panel: <br />Piping system: <br />UST system isoperated to grevent unauthorized release <br />Overfill prevention: <br />its 3m <br />CCR 2632 (c)(2) <br />sapTessurized ❑ Suction ❑ Gravity <br />M1 <br />Mechanical ❑ Audible/visual <br />Inspection type: <br />UST system monitoring a ui ment is prol2erly located to detect a leak <br />MI <br />Violations: <br />outine <br />onitorinz Certification ❑ Installation ❑ Other: <br />142) <br />❑ Ml-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondaty 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 c 2 D <br />Monitoring & res onse plan is current and filed with the local agency <br />6 <br />CCR 2712 i <br />Monitoring & re§jLonse plan is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitorin records <br />Ml <br />8 <br />CCR 2643 d <br />Daily monitoring of suction 2ipin(2re-January, 1, 1984 <br />9 <br />HSC 25292.1 <br />UST system isoperated to grevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoringsystem is present <br />M1 <br />1 I <br />CCR 2630 d <br />UST system monitoring a ui ment is prol2erly located to detect a leak <br />MI <br />12 <br />HSC 25291 <br />UST system monitoring -equipment isoperational <br />142) <br />13 <br />CCR 2636 1 <br />Continuous monitoring system for underground giping & UDC is present <br />1 <br />14 <br />CCR 2631 a <br />Primary containment is 2roduct tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1 <br />All releases in sec224M pipingflow to a collection sum <br />17 <br />HSC 25291 KD <br />Line leak detectors are installed <br />MI <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />M2 <br />19 <br />CCR 2635 (b)K2) <br />Overfill 2revention system <br />M2 <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring &' 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />RecordingLeporting of unauthorized releases <br />Mi <br />23 <br />CCR 2715 <br />Desi&2ated O erator: (a2 Statement from UST owner; (c -e) Monthly ins ection; ( Em to ee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 a <br />Annual line leak detector test <br />Ml <br />26 <br />HSC 25284.2 <br />Annual sl2ill containment testing <br />27 <br />CCR 2636 4 <br />Annual line tightness test <br />Ml <br />28 <br />CCR 2661 <br />Repair for tank/giping has had tightness test <br />(M2 <br />29 <br />CCR 2643 a <br />Biennial tightness test of Eavity 2iping(re-Janus 1, 1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (pre -January 1, 1984 <br />Ml <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of Eublic 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 <br />Permit to temporarily close UST system <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 />Isle al abandonment of UST system <br />38 <br />Other: <br />EH <br />INS P CTO <br />PHONE: UIC <br />G 4 q Septic system: <br />(O i -- Serves >_20 peopl <br />R EIVE BY: VI TITLE: Receive er than sanitary waste <br />,� m k ,�c L-� Other osal methods: <br />L u Dry wells/French Drains <br />EHD 23-02-002 <br />