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SAN JOAQUIN COUNTY 4 q'NVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT Facility name: -h3u IG%&J CSA' e, w� �v�l L� Designated Operator- ba- f h w � 4-L Insp tion ate: Facility address: ( {/ I - Z, ��' �� 7 y�.J `-� "-j UST # 'Product , Facility Contact: Title: Phone: 21rvli S",j ot-►e Z #KAAA AIL, Mo rtori P /,� v11 J �V Piping system: I�J essurized ❑ Suction ❑ Gravity Overfill prevention: echanical ❑ Audible/visual Inspection type: Routine ')CMonitoring Certification ❑ Installation ❑ Other: Violations: ❑ M1-RDetect ❑ M2-RPrev ❑ M-3 Both # Code Section VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R V V=Violation; RV=R eat Violation 1 HSC 25284 Permit tooperate 2 CCR 2637 Secondary containment test performed 3 CCR 2711 b) & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) 4 HSC 25292.2 Certification of financial responsibility and CFO letter 5 CCR 2632 b Monitoring Program(Monitoring & Response Plan) is current and approved by the local agency. 6 CCR 2712 i) Monitoring plan is onsite. 7 CCR 2712 b) Maintenance & monitoring records Ml 8 CCR 2643 d) Daily monitoring of suction piping (pre -January, 1, 1984) 9 HSC 25292.1 UST system isoperated to prevent unauthorized release 10 CCR 2632 c)(2) UST monitoring system is present (Ml) 11 CCR 2630 d) UST system monitoring equipment is properly located to detect a leak (Mi) 12 HSC 25291 b) UST s stem monitoring equipment isoperational (M2) 13 CCR 2636 1) Continuous monitoring system for underground piping & UDC is present (Ml) 14 CCR 2631 (a) Primary containment is product tight 15 HSC 25291 (a)(2) Secondary containment for UST is tight 16 CCR 2636 (c)(1) All releases in secondary pipingflow to a collection sum 17 HSC 25291 Line leak detectors are installed (M1 18 CCR 2635 (b)(1) Spill container (M2) 19 CCR 2635 (b)(2) Overfill prevention system M2) 20 CCR 2636 (a) Conventional suction piping shall have continuous monitoring & 2° containment 21 HSC 25291 (e) Water in 2° containment analyzed & properly disposed of 22 CCR 2650 Recording/reportingo nauthorized releases 23 CCR 2715 Designated erato . (a) tatement from UST owner (c -e) Vonthly inspection; f) Em to ee traini 24 CCR 2638 a Annual monitorin c-Fffiffication 25 CCR 2638 a) Annual line leak detector test (Ml) 26 HSC 25284.2 Annuals ill containment testing 27 CCR 2636 4) Annual line tightness test (Mi) 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) 29 CCR 2643 e) Biennial tightness test of gravity pipingre-Janus 1, 1984 30 CCR 2643 d) Triennial line test for conventional suction piping (pre-January1, 1984) (Mi) 31 HSC 25292.5 Double walls stem located within 1000' of public well-ELD 32 CCR 2661 Permit to repair UST system 33 HSC 25286 a) Permit to alter monitoring system 34 HSC 25298 (b) Permit to temporarily close UST system 35 HSC 25298 c) Permit to close UST system 36 HSC 25299 (a)(9) Disabling leak detection devices 37 HSC 25298 a) Illegal abandonment of UST system 38 Other: EHD INSPECTOR: �� � / V�.� PHONE � `�'GL g .� �l � � UIC S stem: Serve _ eople/day Receives other sanitary waste Other &Wsal methods: wells/French Drains VED BY: TITLE: r( � 0A / dr' 3Q '� C -J/ ao / O & EHD 23-02-002 REV 05/07