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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.orWehd <br /> UNDERGROUND STORAGE TANK UST2 PROGRAM INSPECTION REPORT <br /> )Facility name: ]Designated Operator: Inspection <br /> Date- <br /> / LAk - ox <br /> Facility ,ddress UST# <br /> ^� Product 2S7BDiei-1 <br /> Each ty Contact: Title: Phone: <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> b�c� ressurized ❑Suction ❑Gravit echanical ❑Audible/visual <br /> Inspection type: Violations: <br /> outine 11knonitoringCertification ❑Installation ❑Other: ❑MI-RDeteet ❑M2-RPrev M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations • V R <br /> # Code Section <br /> V=Violation;RV=R22eat Violation V <br /> t HSC 25284 Permit to operate <br /> 2 CCR 2637 Secondaa containment test 2erformed <br /> 3 CCR 2711 b)& c Current Unified Program Consolidated Forms on file with EHD j.Facili!X and tank form) <br /> 4 HSC 25292.2 Certification of financial res2onsibility and CFO letter <br /> 5 CCR 2632 b Monitoring Program Monitoring&Res onse Plan)is current and a roved!!X the local Mency. <br /> 6 CCR 2712 i) Monitoring lan is onsite. <br /> 7 CCR 2712 b Maintenance&monitorin records M1 <br /> 8 CCR 2643 d Daily monitoring of suction 2i2ing(pre-Januail, 1, 1984) <br /> 9 HSC 25292.1 UST system iso crated to 2revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is 2resent M 1) <br /> I I CCR 2630 d UST system monitoring ui mcnt is 2ro2SrIX located to detect a leak M 1 <br /> 12 HSC 25291 b UST system monitoring Equipment iso erational M2). <br /> 13 CCR 2636(9(1) Continuous monitoring system for under round 2i2i'18&UDC is resent MI <br /> 14 CCR 2631 a Primary containment is Rroduct ti ht <br /> 15 HSC 25291 (a)(2) Secondaa containment for UST is tight <br /> 16 CCR 2636(c)(IAll releases in second2a Ri2inaflow to a collection sum <br /> 17 HSC 25291 Line leak detecto s)are installed M 1) <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) Conventional suction Ci2ing shall have continuous monitorin &2°containment <br /> 21 HSC 25291 (e) Water in 2°containment anal zed&Rroeridisposed of <br /> 22 CCR 2650 Recording/Morting of unauthorized releases M 1 <br /> 23 CCR 2715 Designated O orator: a Statement from UST owner c-c)MonthIX ins ection t) Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a) Annual line leak detector test (M 1 <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(t)(4) Annual line tightness test M 1) <br /> 28 CCR 2661 t Repair for tank/p'2ing has had tightness test M2 <br /> 29 CCR 2643 e) Biennial ti htness test of gravity pi2ingre-Januar 1, 1984) <br /> 30 CCR 2643 d) Triennial line test for conventional suction 2i2ing( re-Jamta 1, 1984) M 1) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 b) Permit to temporarily close UST system <br /> 35 HSC 25298 c Pen-nit to close UST system <br /> 36 HSC 25299 a 9) Disabling teak detection devices <br /> 37 HSC 25298 1a} (Ile at abandonment of UST s stem <br /> 38 Other: --�^" <br /> EHD INSPECTOR: , P110NE: U1C' <br /> 7L °. V system: <br /> Serves>_20 people/day <br /> RECEIVED 8 • fJ TITLE: Receives other than sanitary waste <br /> Other disposal methods: <br /> Dt wells/French Drains <br /> t <br /> EHD 23-02-002 REV 05/07 <br />