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Q ..1 ?-A <br />FORa <br />UNDE GROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />0 SAN JOAQUIN COUNTY 9 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Facility name: <br />M <br />Designated Operator: Inspection Date: <br />Facility address: <br />UST # <br />'Product <br />n <br />" <br />Facility Contact: Title: Phone: <br />� v�NS,J.Z) (eZ N� �, 37- <br />Monitoring Panel:/ {f� <br />F� r7v �7yL J� <br />Piping system: <br />❑ Pressurized Suction ❑ Gravity <br />Overfill prevention: <br />Mechanical ❑ Audible/visual <br />Inspection type: <br />Routine)(Monitoring <br />Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ Ml-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V <br />V=Violation; RV=Re eat Violation <br />1 HSC 25284 <br />Permit tooperate <br />2 CCR 2637 <br />Secondary containment test performed <br />3 CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form <br />4 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 (c)(2)(D) <br />Monitoring & response plan is current and filed with the local agency <br />6 CCR 2712 i <br />Monitoring & response plan is onsite <br />7 CCR 2712 (b) <br />Maintenance & monitoring records <br />(Ml) <br />8 CCR 2643 d <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 (c)(2) <br />UST monitoring system is present <br />(MI) <br />11 CCR 2630 d) <br />UST system monitoring equipment is properly located to detect a leak <br />(Mi) <br />12 HSC 25291 b <br />UST system monitoring equipment isoperational <br />M2 <br />13 CCR 2636 (f)(1) <br />Continuous monitoring system for underground piping & UDC is present <br />(Ml) <br />14 CCR 2631 a <br />Primary containment is product tight <br />15 HSC 25291 a)(2) <br />Secondary containment for UST is tight <br />16 CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 HSC 25291 <br />Line leak detector(s) are installed <br />(Mi) <br />18 CCR 2635 (b)(1) <br />Spill container <br />M2 <br />19 CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 CCR 2650 <br />Recording/reporting of unauthorized releases <br />Ml <br />23 CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly inspection; <br />f) Employee training <br />24 CCR 2638 (a) <br />Annual monitoring certification <br />25 CCR 2638 (a) <br />Annual line leak detector test <br />Ml <br />26 HSC 25284.2 <br />Annuals ill containment testing <br />27 CCR 2636 (f)(4) <br />Annual line tightness test <br />(Ml) <br />28 CCR 2661 <br />Repair for tank/piping has had tightness test <br />M2 <br />29 CCR 2643 (e) <br />Biennial tightness test of gravity pipingre-Januar 1, 1984) <br />30 CCR 2643 d <br />Triennial line test for conventional suction piping (pre-January1, 1984 <br />Ml <br />31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 CCR 2661 <br />Permit to repair UST system <br />33 HSC 25286 (a) <br />Permit to alter monitoring system <br />34 HSC 25298 b <br />Permit to temporarily close UST system <br />35 HSC 25298 (c) <br />Permit to close UST system <br />36 HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 Other: <br />Ir <br />EHD INSPECTOR: <br />U� <br />TPH <br />�� _ �g <br />V <br />(i(J <br />UIC <br />Se tics sin* <br />❑Serves _ people/day <br />❑ Receives of than sanitary waste <br />Other dis osal metho� <br />❑ D wells/French <br />RE IVED B <br />EHD 23-02 <br />1/3/07 <br />