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SAN JOAQUIN COUNTY <br /> E IRONMENTAL HEALTH DEPARTM NT <br /> .:. 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-270$ <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> UNDERGROUND STORAGE TAN (UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> 17t eo may) <br /> Facility address: UST# <br /> S Product <br /> @—WE . -- I---15 <br /> F 'lity Contact: Title: Phone: " <br /> J e vl S ►p C e q -" <br /> Monitoring anel: Pipings stem: Overfill prevention: <br /> I 117 ';K I It Pressurized ❑Suction ❑Gravi ❑Mechanical Audible/visual <br /> Inspection type: Violations: <br /> outine MAonitoring Certification ❑Installation ❑Other: ❑M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S)HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation;RV=Re eat Violation <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 SecondM containment test performed <br /> 3 CCR 2711 (b)&(c) Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 c)(2)(D) Monitoring&response 21an is current and filed with the local a enc <br /> 6 CCR 2712 i Monitoring&res onse lan is onsite <br /> 7 CCR 2712(b) Maintenance&monitorin records (Mi) <br /> 8 CCR 2643 d Daily monitoring of suction i in re-Janus , 1, 1984 <br /> 9 HSC 25292.1 UST system iso erated to prevent unauthorized release <br /> 10 CCR 2632 c)(2) UST monitorin s stem is present l <br /> 11 CCR 2630(d) UST system monitorin a ui ment is properly located to detect a leak (Mi) <br /> 12 HSC 25291 UST system monitoring equipment is o erational (M31- <br /> 13 CCR 2636(f)(1) Continuous monitorinE system for underground piDinR&UDC is present (Mi) <br /> 14 CCR 2631 a) Primar containment is roduct ti ht <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636 c l All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 0 Line leak detector(s)are installed (Ml) <br /> 18 CCR 2635 1 Spill container M2 <br /> 19 CCR 2635(b)(2 Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitorin &2°containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&2roperlX dis osed of <br /> 22 CCR 2650 RecordinL/re2orting of unauthorized releases (Mi) <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection;(f)Em to ee training <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (Ml) <br /> 28 CCR 2661 Repair for tank/ i in has had tightness test M2 <br /> 29 CCR 2643(e) Biennial tightness test of gravity piping( re-Januar 1, 1984) <br /> 30 CCR 2643 d Triennial line test for conventional suction pi2inE(pre-January1, 1984 Ml <br /> 31 HSC 25292.5 Double walls stem 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 Lb)_ Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299 a)(9) DisablinE leak detection devices <br /> 37 HSC 25298(a) Ille al abandonment of UST s stem <br /> 38 Other: <br /> EH INSP TOR: ONE: UIC <br /> a - Septic system: <br /> 1 ❑ <br /> i Serves>_20 people/day <br /> RECEI BY:I TITLE ❑Receives other than sanitary waste <br /> Other disposal methods: <br /> rdrlM'G® <br /> 11D wells/French Drains <br /> EHD 23-02 <br /> 1/1/07 <br />