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SAN JOAQUIN COUNTY I <br />ONVIRONMENTAL HEALTH DEPARTMEN <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 9520 =2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />U1NVV,1Kk>rKk)U1v1) S7OKAUh •1•ANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Designated Operator: <br />Inspection Date: <br />Facility address: <br />LOV\,, Q-46, <br />UST # <br />Product <br />per, <br />a2A <br />CCR 2636!(x) <br />Facility Contact: <br />N\*t V -N Vs <br />Title: Phone: <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & <br />ro rl disposed of <br />Monitoring Panel: <br />L <br />jPIng system: <br />essurized El Suction El Gravity <br />O�vfe fill prevention: <br />6d'Mechanical ❑ Audible/visual <br />Inspection type: / <br />Q/Routine /Monitoring <br />Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ M1-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />1 HSC 25284 <br />Permit tooperate <br />25 <br />.• • CCR 2637 <br />Sec...... contaittment test ' : .9rm <br />Mi <br />.3 CCR 2711 b & (c) <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />ALL I <br />5 CCR 2632 c (2)(D) <br />fltaCe <br />.. <br />Monitoring & response plan is current and filed with the local agency <br />72 <br />CCR 2712,{i <br />Mon -A... W, . ,apse vim, trite <br />"CCR2604; <br />7 CCR 2712 b <br />Maintenance & monitoring records <br />Ml <br />BCCR 2643 `(d) <br />bail ttltorttg ofuctiorl l un :(p°. Manu' ` . 1, 1984) <br />%Y <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />Triennial Pirie test'fpr conventionalowtc+rt, i t<7anit..,, 1, 1984° <br />it) CCR 2632 (c)(2) <br />11 CCR 2630 (d) <br />UST�ito,,tg s ,taints':`"11 int <br />UST system monitoring ui ment is properl located to detect a leak <br />Ml , <br />Ml <br />]RLH 015,291 ) <br />UST s -tein monitor?,• � •latent is:c eratibrtal777 <br />- <br />32 <br />13 CCR 2636 f)(1) <br />Continuous monitoringsystem for under ound piping & UDC is resent <br />Mi <br />CR 2631 a <br />Pt3 „ c ttai '. ik <br />Permit to alter monitoring system <br />15 HSC 25291 (a)(2) <br />Seconds containment for UST is tight <br />HSC 25298 (b) <br />n 2636.; c (1 <br />17 HSC 25291 ( <br />All releases in second-. . i .i i%t� amt l t ticm sum <br />Line leak detector(s) are installed <br />IM11 <br />l . 635 (b)(1) _ <br />Sill cont''rier <br />I MW <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />M2 <br />a2A <br />CCR 2636!(x) <br />Conventl `° al suction pipin slratl hive• c�riuous:motlitortn '& 26:eont�nt <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & <br />ro rl disposed of <br />R 2650 `: <br />Recordln " .r rtn of un, � nt'tl' <br />awes <br />23 <br />CCR 2715 <br />Designated O erator: a Statement from UST owner; (c -c) Monthly inspection; ( <br />Employee training <br />CCR'2638, a <br />Attttual,ltY(1Dito G fleatl0it <br />25 <br />CCR 2638 a) <br />Annual line leak detector test <br />Mi <br />! C 2520.2 <br />; Ann .: It c-,, ►int" t . <br />27 <br />CCR 2636 4 <br />.. <br />Annual line tightness test <br />MI <br />Z;. <br />"CCR2604; <br />Rio 4rir <br />,it4nk/pipjqg'hash4f sstest <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity pipingre-Janus 1, 1984 <br />%Y <br />3 <br />'CCR 2b d <br />Triennial Pirie test'fpr conventionalowtc+rt, i t<7anit..,, 1, 1984° <br />I <br />31 <br />HSC 25292.5 <br />, <br />Double wall astern located within 1000' of public well-ELD <br />32 <br />CCR 2661 ' <br />Peru* t to lr` lS l s stein <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to tern orarily close t7S"- `tom <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 />Illegal abandonment of UST system <br />38 <br />Other: <br />D IN R: <br />PHONE: <br />UIC <br />Septic system: <br />❑ Serves >_20 people/day <br />CEIV <br />TITLE: <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />❑ Dry wells/French Drains <br />EHD 23-02-002 <br />