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DAT <br />SAN JOAQUIN COUNTY PR#E o 6 <br />VIRONMENTAL HEALTH DEPART <br />PAGE <br />OE. Weber Ave., Third Floor, Stockton, CA��SS5202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST),PROGRAMINSPECTION REPORT <br />Facility Narne�i AdS¢nI�S St,�uhz �.A1 Facility Address_ 2-3C7 S • S/y-0 Ap j S� <br />Facilty Contact. /IAA A K#�j Title b_jf A Phone # 3 <br />UST# Lf Product Prtej UST# SProduct V t.- UST#(� Product J>P-0– UST#_Product <br />Overfill Prevention: D Audible/Visual ,Mechanical <br />Piping System: O Gravity n Pressure ,'Suction <br />Automatic Pump Shut Down Satisfies CCR 2636 (f)(5): O <br />Monitoring Panel: rIt Gori <br />Violations: O M1-RDet D M2-Rprev D M3 -Both <br />INSPECTION TYPE: Routine Wonitoring Certification OComplaint Olnstall ORemoval CRepair/Upgrade <br />- O� <br />NAME: AA/ <br />VIOLATION(S) <br />PHONE: S32 - 7.32o <br />The above facility is not in compliance with the following <br />section(s) of Health & Safety Code (HSC) and/or <br />California Code of <br />Regulations (CCR): <br />1_HSC <br />2_CCR <br />25284 <br />2637 <br />Permit to operate <br />Secondary cont. testing <br />23—CCR <br />2643 (d) <br />Daily monitoring of suction <br />3_CCR <br />4_HSC <br />2711(b) & (c) <br />25292.2 <br />Current State Forms A & B <br />24—CCR <br />2636 (a) <br />piping (pre -1/1/84) <br />Conventional suction piping <br />Certification of financial <br />shall have continuous <br />5_CCR <br />6_CCR <br />2632 (c)(2) <br />responsibility & CFO letter <br />UST monitoring is present (M1) <br />25—CCR <br />2643 (e) <br />monitoring & 20 containment <br />Biennial tightness test of <br />2630 (d) <br />UST system monitoring <br />gravitl <br />piping (pre -1/1/84) <br />equipment is properly located to <br />detect a leak (M1) <br />26_CCR <br />2643 (d) <br />Triennial line lest for <br />7_CCR <br />2637(b) <br />UST system monitoring <br />conventional suction (pre- <br />1/1/84) (M1) <br />8CCR <br />2636 (f)(1) <br />equipment is operational (M1) <br />Continuous monitoring system <br />27 <br />CCR 2661 <br />Permit to repair UST system <br />for underground piping & UDC <br />28—HSC <br />25286 (a) <br />Permit to alter monitoring <br />9_CCR <br />2636 (c)(1) <br />is present (M7) <br />All releases in secondary piping <br />29—HSC <br />25298 (a) <br />system <br />Illegal abandonment of UST <br />10 <br />HSC 25291 (f) <br />flow to a collection sump <br />Line leak detector(s) (M1) <br />30—HSC <br />25298 (b) <br />system <br />Permit to temporarily close US' <br />11_HSC <br />25291(a)(2) <br />Secondary containment for <br />31 <br />HSC 25298 (c) <br />system <br />Permit to close UST system <br />12 <br />CCR 2635 (b)(1) <br />UST is tight <br />Spill container (M2) <br />32—HSC <br />25292.1 <br />UST system is operated to <br />13 <br />HSC 25284.2 <br />Annual spill container testing <br />33 <br />CCR 2650 <br />prevent unauthorized release <br />Recording/reporting <br />14 <br />15 <br />CCR 2635 (b)(2) <br />Overfill prevention system (M2) <br />unauthorized release (M1) <br />CCR 2631 (a) <br />Primary containment is product-, <br />tight <br />34 <br />HSC 25291 (e) <br />Water in 20 cont analyzed and <br />16 <br />17 <br />CCR 2632 (d) <br />CCR 2712 (i) <br />Monitoring & response plan <br />Monitoring & <br />35 <br />CCR 2640 (e) <br />properly disposed of <br />Single wall component within <br />response plan is <br />1000' of Public Well, no ELD <br />18 <br />CCR 2712 (b) <br />on site <br />Maintenance & monitoring <br />36—CCR <br />2635(a)(2)(A) Cathodic protection testing & <br />19_CCR <br />2636 (f)(4) <br />records (M7) <br />Annual line tightness test <br />37 <br />60 day inspection log (M2) <br />H&SC 25299(a)(9) Disabling leak detect. Devices <br />20—CCR <br />2630 (d) <br />Annual line leak detector test <br />38 <br />39 <br />CCR 2715(a) <br />CCR 2715(c) <br />Statement from UST owner <br />Monthly inspection by D.O, <br />21_CCR <br />2630 (d) <br />(M1) <br />Annual monitoring certification <br />40 <br />41 <br />CCR 2715 (f) <br />D.O. trained employees <br />22 <br />CCR 2661 (f) <br />Repair for tank/piping has had <br />Violation(s) not listed above <br />i htness test M2 <br />EHD INSPECT <br />PHONE: Zoai Wj 8tyo <br />RECEIVED BY: <br />TITLE: <br />Septic SyServes <br />ersons/day ❑ Receives other than sanitary waste <br />Other Disposal Units <br />Identified: ❑ Dry wells/French Drains <br />1AL)MMUn1t-IIRU$nUST <br />tnspechon8.19.N.D0C <br />