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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95M 708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj og v.orp/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />--NO <br />Designated Operator: <br />ole � � <br />Inspection Date: <br />�a 1\ - os <br />Facility address: <br />UST # <br />Product <br />Facility Contact: Title: Phone: <br />Monitoring Panel: <br />J Q—"(�,S- CJD <br />Pip' g system: <br />Pd Pressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />CMechanical ❑ Audible/visual <br />7ction type: — / <br />utine Monitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATIONS) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />`, <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 & 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 c (2)(D <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />M1 <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 <br />M1 <br />11 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />(Mi) <br />12 <br />HSC 25291 <br />UST system monitoring equipment is operational <br />M2) <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitoring s stem for underground piping & UDC is present <br />(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 <br />Ml <br />18 <br />CCR 2635 )(1) <br />Spill container <br />M2 <br />19 <br />CCR 2635 b)(2) <br />Overfill prevention system <br />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 <br />Ml <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly inspection; (f) Employee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Ml) <br />26 <br />HSC 25284.2 <br />Annual spill containment testing <br />27 <br />CCR 2636 ( (4) <br />Annual line tightness test <br />(Mi) <br />28 <br />CCR 2661 (f) <br />Re air for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity pipingre-Januar 1, 1984 <br />30 <br />1 CCR 2643 d) <br />Triennial line test for conventional suction _ piping (pre -January 1, 1984) <br />(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 <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 />38 <br />Other: <br />INSPE Mj <br />PHONE: <br />UIC <br />otic system: <br />Serves >_20 people/day <br />C Receives other than sanitary waste <br />Other disposal methods: <br />11 Dry wells/French Drains <br />RE E <br />TITLE: <br />EHD 23-02-002 <br />