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V=Violation; RV=Repeat Violation <br />Permit to operate <br />• ff k VITIT Ma T1.110-1 M ff -me <br />Monitoring plan is onsite.O�L— <br />Maintenance & monitoring records (Mi) <br />Daily monitoring of suction pi ing (p 1984) <br />UST system is operated to prevent unauthorized release <br />A mo•TOW UST monitoring system is present <br />11 <br />SAN JOAQUIN COUNTY <br />UST system monitoring equipment is properly located to detect a leak <br />(MI) --71 <br />IRONMENTAL HEALTH, DEPARTMENT <br />HSC 25291 (b) <br />equipment iso 0 <br />�m monitori - k ch'A"� <br />600 East Main Street, Stockton, California 95202-3029 <br />13 <br />CCR 2636 (fi(l) <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.oLg/ehd <br />(MI) <br />UNDERGROUND STORAGE TANK (USTI PROGRAM INSPECTION REPORT <br />CCR 2631 (a) <br />Facility name: <br />Desi ated Operator: Inspection <br />D <br />15 <br />HSC 25291 (a)(2) <br />V-Va0 <br />16 <br />I C'W6 i-IqIO DMM-'k`VVAe <br />All releases in secondary pieing flow to a collection sump <br />Facility address: <br />17 <br />W# <br />Line leak detector(s) are installed <br />(Mi) <br />- A <br />L Li <br />Spill container <br />'Product <br />19 <br />CCR 2635 (b)(2) <br />l <br />FacilityContact: <br />1W byN <br />Title: Phone:( <br />T, <br />4. - <br />Conventional suction piping shall have continuous monitoring & 20 containment <br />21 n <br />HSC 25291 (e) <br />Water in 20 containment anal zed & properly disposed of j . ftv iN -J:p -JAVAP'S; <br />22 <br />CCR 2650 <br />Record i n /re ortin of u. authorized releases <br />I (MI) <br />I -Em <br />23 @ <br />CCR 2715 <br />Designated Operator: (eStatement from USE owner; (c -e) Monthly ins action; <br />Monitoring Panel: <br />24- <br />PipingsystemOverfill <br />prevention: <br />25. <br />CCR 2638 (a) <br />)QPressurized [I suction 0 Gravity <br />WMechanical 0 Audible/visual <br />26 P <br />Inspection type: <br />Violations: <br />Routine <br />onitoring Certification 0 Installation 0 Other: 0 Ml-RDetect 0 M2-RPrev 0 M-3 Both <br />Annual line tightness test <br />(MI) <br />28 <br />V=Violation; RV=Repeat Violation <br />Permit to operate <br />• ff k VITIT Ma T1.110-1 M ff -me <br />Monitoring plan is onsite.O�L— <br />Maintenance & monitoring records (Mi) <br />Daily monitoring of suction pi ing (p 1984) <br />UST system is operated to prevent unauthorized release <br />A mo•TOW UST monitoring system is present <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />(MI) --71 <br />fl4 <br />HSC 25291 (b) <br />equipment iso 0 <br />�m monitori - k ch'A"� <br />(Mi <br />13 <br />CCR 2636 (fi(l) <br />_j!§jjy���g <br />Continuous monitoring system for underground piping & UDC is present <br />(MI) <br />1 <br />CCR 2631 (a) <br />Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondaa containment for LIST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pieing flow to a collection sump <br />17 <br />HSC 25291 (f)l <br />Line leak detector(s) are installed <br />(Mi) <br />18 ♦ <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />(W) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 20 containment <br />21 n <br />HSC 25291 (e) <br />Water in 20 containment anal zed & properly disposed of j . ftv iN -J:p -JAVAP'S; <br />22 <br />CCR 2650 <br />Record i n /re ortin of u. authorized releases <br />I (MI) <br />I -Em <br />23 @ <br />CCR 2715 <br />Designated Operator: (eStatement from USE owner; (c -e) Monthly ins action; <br />training <br />24- <br />CCR 2638 (a) <br />Annual monitoring certificatiorf) <br />25. <br />CCR 2638 (a) <br />Annual line leak detector test <br />MIL <br />26 P <br />HSC 25284.2 <br />Annuals ill containment testisci) <br />27 <br />CCR 2636 4) <br />Annual line tightness test <br />(MI) <br />28 <br />CCR 2661 <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre -January 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping (re-Janua!y 1, 1984) <br />(MI) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public 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 stem <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />36 <br />HSC 25299 <br />(a)(9)(D(2) <br />Disabling leak detection devices <br />— <br />37 <br />HSC 25298 (a) <br />illegal abandonment of LIST system <br />38 <br />Other: <br />EV111ML7*11M <br />M <br />EHD 23-02-002 REV 8/08 <br />UIC <br />Septic system: <br />ii Serves �!!20 people/day <br />0 Receives other than sanitary waste <br />Other disposal methods: <br />F1 Dry wells/French Drains <br />