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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or /g ehd <br />TTNnF.RGRnITNn STORAGE TANK (USTI PROGRAM INSPECTION REPORT <br />Facility name: Designated Operator: <br />WOW P/-", A'14 <br />Inspection Date: <br />Facility address: /may,,n �J L UST # <br />�/ r �i� a v' / WV Frti( ✓ � Product <br />, <br />Fac' ' y Contact A/C Title: /j�` Phone:I <br />44 <br />- <br />- <br />itorin Pa Del: <br />Piping system: Overfill prevention: <br />II <br />ressurized ❑Suction ❑ Gravity echanical ❑ Audible/visual <br />nspection type: <br />Routine NA4onitoring <br />Violations: <br />Certification ❑ Installation ❑ Other: ❑ M1-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code 4ection <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=R eat Violation V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test perforined <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 responsibility and CFO letter <br />5 <br />CCR 2632 b <br />Monitoring Program(Monitoring & Response Plan is current and approved by the local agency. <br />6 <br />CCR 2712 i) <br />Monitoring plan is onsite. <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records Ml <br />8 <br />CCR 2643 d) <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present (Ml) <br />11 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak Ml <br />12 <br />HSC 25291 b) <br />UST system monitoring equipment isoperational (M2) <br />13 <br />CCR 2636 1) <br />Continuous monitoring system for underground piping & UDC is present (Mi) <br />14 <br />CCR 2631 a) <br />Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 <br />HSC 25291 ( <br />Line leak detector(s) are installed (Ml) <br />18 <br />CCR 2635 (b)(1) <br />Spill container (M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system M2) <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 />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases (MI) <br />23 <br />CCR 2715 <br />DesignatedOperator: (a) Statement from UST owner; (c -e) Monthly ins ection (f) m to ee training <br />24 <br />CCR 2638 a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test (MI) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 4) <br />Annual line tightness test M1) <br />28 <br />CCR 2661 f) <br />Repair for tank/piping has had tightness test (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 (pre -January 1, 1984) (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 system <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 />381 <br />Other: <br />O <br />P <br />PHONE- �' / / <br />O (�v/ <br />UIC <br />Septic system: <br />Serves >_20 people/day <br />^ Receives other than sanitary waste <br />Other disposal methods: <br />wells/French Drains <br />Y: <br />TITLE: <br />EHD 23-02-002 REV 05/07 <br />