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SAN JOAQUIN COUNTY <br /> *ENVIRONMENTAL HEALTH DEPARTMENIO <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax. (209)468-3433 Web:Www-Si-qov.org/ehd <br /> UNDERGROUND STORAGE TANK (UST <br /> PROGRAM INSPECTION REPORT <br /> Facility name: Designated I Operator: Inspection <br /> r t <br /> e 41 A04_.� Date: <br /> ev A <br /> Facility address: UST# <br /> Tra CV CA <br /> 'Product y.2, -- --' V <br /> Facility Contact: ✓ Title: Phone: <br /> h d v4s <br /> --L- <br /> Monitoring Panel; Piping system: <br /> tem: Overfill prevention: <br /> 01;t,�P, S 10- 'j 0 Pressurized 0 Suctiorl, 0 Gravity 0 Mechanical --udiblelvisual <br /> Inspection typd: ck& M-C Violations: <br /> 0 Routine 0 Monitorn- Certification 0 Installation1k <br /> r2othey: &63sg-C�A XMl-RDetect 0 M2-RPrev 0 M-3 Both <br /> # Code Section VIOLATION(S) HSC=CalifomIa Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> 1 HSC 25284 Permit to operate V=Violation; RV=Repeat Violation V <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 (b)&(c) Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Res ponse_Plan)is current and approved..by the local agency. <br /> 6 CCR 2712(1) Monitoring plan is onsite. <br /> 7 CCR 2712(b) Maintenance&monitoring records (MI) <br /> 8 CCR 2643(d) — Daily monitoring of suction piping( re-January, 1, 1984) <br /> 9 HSC 25292.1 _ LIST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (Mi) <br /> 11 CCR 2630(d) LIST system monitoring equigment is properly located to detect a leak (MI) <br /> 12 HSC 25291 (b) LIST system monitoring equipment is operational <br /> 13 CCR 2636(0(1) Continuous monitoring system for underground pi,ping&UDC is present <br /> 14 CCR 2631 (a) Primary containment is product tight (MI) <br /> 15 HSC 25291 (a)(2) Secondary containment for LIST is tight <br /> 16 CCR 2636(c)(1) All releases in.secondary piping flow to a collection sump <br /> 17 HSC 25291 (0 Line leak detector(s)are installed (MI) <br /> 18 CCR 2635(b)(1) S ill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases (MI) <br /> 23 CCR 2715 Designated 02erator: (a)Statement from LIST owner; (c-e)Monthly inspection;(f)Employee training <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636(0(4) Annual line fightness test (Mi) <br /> 28 CCR 2661 (f) Repair for tank/ iping has had tightnes2 test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of gravity piping(pre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-January 1, 1984) (MI) <br /> 31 HSC 25292.5 Double wall system located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair LIST system <br /> 33 1 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close LIST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299 Disabling leak detection devices <br /> (a)(9)(0(2) <br /> 37 HSC 25298(a) Wegal abandonment of UST system <br /> 38 1 Other: I <br /> EHD INSPECTOR:/Y'\ PHONE: UIC <br /> Septic system: <br /> q- <br /> RECEIVED BY: 0 Serves>20 people/day <br /> TITLE: 0 Receives other than sanitary waste <br /> Other disposal methods: <br /> 0 Dry welWFrench Drains <br /> EHD 23-02-002 REV 8/08 <br />