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SAN JOAQUIN COUNTY <br />OVIRONMENTAL HEALTH DEPARTMENT is <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or /Q ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />S +66 V� of <br />cq *� e w� Fool fA <br />Designated Operator: <br />�P�v f �pz <br />Insp ction ate: <br />13 0� <br />Facility address: 11 /�- I <br />3 S Ce4�t r 7� O �J !L/TON <br />UST # <br />Product <br />7 <br />2 <br />i <br />Facility Contact: Title: Phone: <br />t(lq "2 - <br />Monitoring Panel �� <br />2 L <br />Piping system: <br />ressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />echanical ❑ Audible/visual <br />Inspection type: <br />Routine onitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># Code Section <br />VIOLATIONS) HSC=California Health & Safety Code; CCR=Califomia Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 HSC 25284 <br />Permit tooperate <br />2 CCR 2637 <br />Secondary containment test;performed <br />3 CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br />4 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 CCR 2712`{i)_ <br />Monitoring' & response plan is onsite <br />7 CCR 2712 b <br />Maintenance & monitoring records (Ml) <br />8 CCR 2643 (d) <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 1 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 (c)(2) <br />UST monitoring system is present Ml <br />11 CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak MI <br />12 HSC 25291 <br />UST system monitoring equipment isoperational M2) <br />13 CCR 2636 (f)(1) <br />Continuous monitoring system for underground piping & UDC is present (Mi) <br />14 CCR 2631 a <br />Primary containment is product tight <br />15 1 HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 HSC 25291 ( <br />Line leak detector(s) are installed Ml <br />18 CCR 2635 (b)(1) <br />Spill container (M2) <br />19 CCR 2635 (b)(2) <br />Overfill prevention system (M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 CCR 2650 <br />Recording/reporting of unauthorized' releases Ml <br />23 CCR 2715 <br />Designated Operator: a Statement from UST owner; (c -e) Monthly inspection; (f) Employee trainm <br />24 1 CCR 2638- a <br />Annual monitoring certification <br />25 CCR 2638 (a) <br />Annual line leak detector test (Ml) <br />26 HSC 25284.2 <br />Annuals ill containment testing <br />27 CCR 2636 4 <br />Annual line tightness test (MI) <br />28 CCR 2661 <br />Repair for tank/piping has had tightness test (M2) <br />29 CCR 2643 a <br />Biennial tightness test of gravity piping(pre-January 1, 1984) <br />30 CCR 2643' d <br />Triennial line test for conventional suction piping (pre -January 1, 1984 (Mi) <br />.31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 CCR 2661 <br />Permit to repair UST system <br />33 HSC 25286 a <br />Permit to alter monitoring system <br />34 HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 HSC 25298 (c) <br />Permit to close UST system <br />36 HSC 25299 (a)(9) '' <br />Disabling leak detection devices <br />37 HSC 25298 a) <br />Illegal abandonment of UST system <br />38 Other: <br />EHD PECTOR:� <br />It 4 <br />�Qi <br />PHONE: <br />�� <br />UIC <br />Se tic stem: <br />_! Se _20 people/day <br />❑ Re i other than sanitary waste <br />Other s we l etench <br />wells/French Drains <br />Er <br />RECEI BY: <br />A,� <br />`� �- <br />TITLE: <br />U <br />FHT) 23-02-002 <br />