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SAN JOAQUIN COUNTY <br />OVIRONMENTAL HEALTH DEPARTMENT 0 <br />304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org�ehd <br />UNDERGROUND STORAGE TANK (UST I <br />PROGRAM <br />INSPECTION REPORT <br />I <br />Facility name: <br />Permit tooperate <br />Designated Operator: <br />Inspection Date: <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial res onsibility and CFO letter <br />5 <br />CCR 2632 c2)(D) <br />Monitorin& response plan is current and filed with the local Mency <br />CW= <br />Facility address: <br />CCR 2712 kj) <br />Monitoring & response plan is onsite <br />UST # 2 - <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(Mi) I I <br />8 <br />CCR 2643 (d) <br />Product 13 <br />09 <br />Facility Contact: <br />Title: <br />Phone: <br />10 <br />CCR 2632 (c)(2) <br />M%tex-- V-*WP-VeL-t:K- <br />et4v . AdROW10fr-S <br />SID) 65-7 <br />-&Smo <br />UST system monitoring equipment is pMerly located to detect a leak <br />(Mi) <br />Monitoring Panel: <br />I <br />Pi ing system: <br />system, monitoring a aril iso rational <br />(M2) V <br />Overfill prevention: <br />CCR 2636 (f)(1) <br />44 % RM -A C— <br />JZ Pressurized El Suction <br />El Gravi!y <br />CCR 2631 (a) <br />/Mechanical El Audible/visual <br />15spection type.- <br />15 <br />HSC 25291 (a)(2 <br />Second n containment for UST is tight <br />Violations: <br />16 <br />,4 RoutineY— <br />All releases in second Tj piping flow to a collection sumM <br />17 <br />HSC 25291 (f) <br />M-3 <br />3 Both <br /># <br />Cod I e Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V Ri <br />V=Violation; RV=Re2eat Violation V <br />I <br />HSC 25284 <br />Permit tooperate <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial res onsibility and CFO letter <br />5 <br />CCR 2632 c2)(D) <br />Monitorin& response plan is current and filed with the local Mency <br />6 <br />CCR 2712 kj) <br />Monitoring & response plan is onsite <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(Mi) I I <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction pipLing (pre-Jana2g, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to revent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />MI <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is pMerly located to detect a leak <br />(Mi) <br />12 <br />HSC 25291 Q?) <br />system, monitoring a aril iso rational <br />(M2) V <br />13 <br />CCR 2636 (f)(1) <br />-UST <br />Continuous monitoring system for underEound iping & UDC is present <br />(Mi) <br />14 <br />CCR 2631 (a) <br />Pri= containment is product tight <br />15 <br />HSC 25291 (a)(2 <br />Second n containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in second Tj piping flow to a collection sumM <br />17 <br />HSC 25291 (f) <br />Line leak detector(s) are installed <br />(MI) <br />.18 <br />CCR 2635 (b)(1) <br />SRill container <br />(M2) <br />19 <br />1 CCR 2635 (b)(2) <br />Overfill 2revention system <br />(N12) <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 />✓ <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />(Ml) <br />23 <br />CCR 2715 <br />Designated 22erator: (a) Statement from UST owner; (c -e) Monthly ins2ection; (f) ETployee training <br />24 <br />CCR 2638''(a) <br />Annual monitoring certification <br />25 <br />1 CCR 2638 (a) <br />Annual line leak detector test <br />(Mi) <br />1126 <br />27 <br />1 HSC 25284.2 <br />CCR 2636 (f)(4) <br />Annual spill containment testing <br />Annual line tightness test <br />(MI) <br />28 <br />CCR 2661 (f) <br />Repair for tank! piping has had tightness test <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping (pre -January 1, 1984) <br />30 <br />CCR 2643 <br />Triennial line test for conventional suctionpj in re 1, 198D <br />(MlL <br />31 <br />HSC 25292.5 <br />_g <br />Double wall system located within 1000' of public well-ELD_ <br />32 <br />CCR 2661 <br />Permit to KTair UST system <br />✓ <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <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 ! eak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />r: <br />EHD INSPECT PHONE: <br />'2�. V6.8. izsw •Sotic <br />RECEIVED TITLE: <br />XA <br />UIC <br />system: <br />Serves �!20 people/day <br />0 Receives other than sanitary waste <br />Other disposal methods: <br />CI Dry wells/French Drains <br />FHT) 23-02-002 <br />