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SAN JOAQUIN COUNTY <br />NVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM 1NCPF.CT1nN REPORT <br />Facility name: <br />ll%� <br />SIWRI, CC <br />Designated Operator: <br />*01- 1 44u&j <br />Inspection Date: <br />/1409 <br />Facility address: <br />2301 "6,M-iJ Av`i� <br />UST # " <br />"Product <br />Llo4-- <br />b 7 <br />Facility Contact: <br />Title: Phone: <br />Monitoring Panel: <br />u <br />Piping system: �� <br />❑ Pressurized LWSuction ❑ Gravity <br />Overfill prevention: <br />"echanical ❑ Audihle/visual <br />Inspection type: <br />EiAbutine GAonitoring <br />Certification ❑ Installation ❑ Other: <br />Violations: <br />C MI-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATIONS HSC=California Health & Safety Code; CCR=Califomia Code of Regulations V R <br />VIOLATION(S) Y gu <br />V -Violation; RV=Repeat Violation V <br />I <br />HSC 25284 <br />Permit too erste <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b) & c <br />Current Unified Program Consolidated Fortes on file with EHD(Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />t/ <br />5 <br />CCR 2632 b <br />Monitoring Program(Monitoring & Response Plan) is current and approved by the local agency. <br />6 <br />CCR 2712 i) <br />Monitoring Ian is onsite. <br />7 <br />CCR 2712 6 <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 />(Ml) <br />I I <br />CCR 2630 d <br />UST system monitoring equipment is property located to detect a leak <br />MI <br />12 <br />HSC 25291 6 <br />UST system monitoring equipment isoperational <br />(M2 <br />13 <br />CCR 2636 I <br />Continuous monitoring system 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 detecto s are installed <br />M t <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(142) <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 & 20 containment <br />21 <br />HSC 25291 (e) <br />Water in 20 containment analyzed & property disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />(MI) <br />23 <br />CCR 2715 <br />Designated Operator: a) Statement from UST owner; (c -e) Monthly inspection; t) Employee tramin <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 a) <br />Annual line leak detector test <br />(M 1) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 4) <br />Annual line tightness test <br />MI) <br />28 <br />CCR 2661 t) <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity pipingre-Janus 1, 1984) <br />30 <br />CCR 2643 d) <br />Triennial line test for conventional suction piping (re -Janus I, 1984) <br />(M 1) <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 b) <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 />1 Other: <br />EHD INSPECTOR: <br />m AIM(?.1/j <br />PHONE: <br />[T C/, _ 3�Of <br />v✓ <br />UIC <br />Septic system <br />-Serves >_20 people/day <br />Receives other than sanitary waste <br />Oth-Dry <br />D y well methods <br />wells/French Dmins <br />R 'IVED BV: <br />AIV <br />TITLE:a <br />EHD 23-02-002 REV 05/07 <br />