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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street;,Stockton, California 95202-3029 Telephone:,(209)468=3420 Fax: (209)468-3433 Web:www.sigov.org/ohd/unitiii-html UNDERGROIL!ND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Faculty name' Designated Operator: Exp.date: Inspectlon_, .4 Dat ,t - � ( �. t�t JK t�� jf«,i�' �},,j✓;`F-3.��Y �1��'��e'�t: ��x Facility address: _ D' UST#o Product K r Facility contact-, I Title: Phone: Vj Monito ing paripli Piping system_ erfill prevention: Y L.-s _ . V.Pressudzed ElSuction LJ Gravity echanical CJ Audible/visual, .c. Inspection type. Violations: 5ne fvlanitoring Certifi tion ❑Installation 2 Other: L!M1-RDetect ❑ M2-RPrev ❑M-3 Both reOn si(we Technicia0i Name: ICC Service Technician Exp.Date: Manufacturer's Training/I: AA 7-, ,; # Code Section VIOLATION(S) HSC=Callfornia Health&Safety Code;CCR=Califomia Code of Regulations V R v=Violation; =Re at Violation V 1 HSC 25284. Na pe it to operate RV 2 CCR 2637 Secondlary containment(a)test not performed;(e)test report not submitted within 30 days;(f)test notification not rovide .to the EHD at least 48 hours prior to conducting the test 3 CCR 2711(b)&(c) Current Unified Prograrn Consolidated Forms not on file with the EHD.(Faaility and tank form) 4 HSC 25292.2 Current financial responsibility documents not on file with the EHD 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plan)is not current or approved by the local agency 6 CCR 2712(i) Monitor g and/or response plan is not onsite Maintenance&monitoring records not maintained 3 years,cathodic protection records for 61/2 years, (M1) written performance claims pertaining to release detection systems for 5 years.or records of repairs,linings,and 7 CCR 2712(b) upgrades for the life of the tank. Monitoring records include;(1)date and time of all monitoring or sampling; (2) mcnitori g equipment calibration and maintenance records;(3)results of any visual observations;(4)results of- sample nalysis performed a lab or in the field;(5)logs of all readings of gauges or other monitoring equipment, round water elevations,or other test results;(6)results of inventory readings and reconciliations. 8 CCR 2643(d) Daily monitoring of suction piping(pre-January 1, 1984)not performed 9 HSC 25292.1 UST system is not operated to prevent unauthorized release,Including spills and overfills 10 CCR 2632(c)(2) Monitori g system is not presort in the interstitial space of a double walled UST/piping (M1) 11 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest.opportunity (M1) 12 HSC 25291(b) UST sy em monitoring equipment Is not operational (M1) 13 CCR 2836(f)(1) Failed 2 maintain a continuous monitoring ystem for underground piping&UDC that to activates an (M1) audible and visual alarm or stops flow of product at the dispenser when it detects a leak 14 CCR 2631(a) Primary containment is not product bight 15 HSC 25291(a)(2) Second ry containment for UST system is not tight 16 CCR 2636 c(1) All relea es In secondary piping do not flow to a collection sump 17 HSC 25291 f Line lea detector(s)not installed (M1) 18 CCR 2635(b)(1) Spill container not installed,failed to contain a minimum capacity of five gallons,or failed to provide (M2) a means to keep the spill container empty 19 CCR 2635(b)(2) Overfill prevention system was overridden or failed to meet overfill requirements in this section (M2) 20 CCR 2636(a) failed to have secondary containment or continuous monitoring(includes conventional suction piping) 21 HSC 25291 e) Water in °containment not removed,analyzed&properly disposed of Unautho,ized release that:(c)did not escape secondary containment and cleaned up wltnln eight hours (M1) 22 GGR 2650 was not recorded; (e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of product not reported to the EHD within 24 hours 23a CCR 2715(a) Failed to Inform the EHD of a change of designated operator within 30 days 23b CCR 2715(b) Designa d operator did not possess a current ICC UST System Operator certification Designat d operator monthly inspection:(c)(1)alarms not documented; (c)(2-4)spill containers,UDCs,and 23c CCR 2715(c), (d),(e) sumps(if necessary)not inspected;(c)(5)required test dates not checked or noted:(c)(6)employee training not verified; ( e)monthly inspection reports not maintained on site for at least 12 months 23d CCF 2715(f) Designate�d operator employee training:(1)not performed;(2)not current for at ieset one employee on log not keipt EHD INSPECT^, .) RECEIVED rTLE'. t EHD 23-02-002 REV 12A& �' Page 1 UST INSPECTION REPORT CT/Se 39VJ SJ03JVH HV3-10 ZL9989VGOZ ZZ :ZT 0TOZ,+LO/S0