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SAN JOAQUIN COUNTYDATE 103 <br />OIRONMENTAL HEALTH DEPARTMWS 5 <br />T PR# <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 PAGE <br />(209)468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name_AA4SQ�?"S 5Law t;x, nglr!lFacilityAddress Z3GI S, Sfp(,►LjL� 5�-, ems,/ <br />Facilty Contact C, V-" M V� Title_ Phone # 54 � - 3 71 � - 3 p- <br />1 <br />UST# t' Product UST#Product UST#Product UST# Product <br />Overfill Prevention: ❑ AudibleNisual ❑ Mechanical Monitoring Panel: <br />Piping System: D Gravity D Pressure ❑ Suction Violations: ❑ Minor ❑ Major <br />Automatic Pump Shut Down Satisfies CCR 2636 : ❑ Yes 0 No Dispenser Pan: ❑ Yes D No <br />INSPECTION TYPE: YRoutine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: h TECHNICIAN NAME: N (M PHONE: N (#_ <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secondary cont testing (6 <br />21 <br />CCR 2636 (f)(4) <br />month/36 month) <br />3CCR <br />2711(b) & (c) Current State Forms A & B <br />4 <br />HSC 25292.2 <br />Certification of financial <br />24 <br />CCR 2643 (d) <br />responsibility and letter from <br />chief financial officer <br />5 <br />CCR 2630 (d) <br />Continuous monitoring system <br />25 <br />CCR 2636 (a) <br />for UST system <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />flow to a collection sump <br />7 <br />HSC 25291 (e) <br />Water in secondary (20) cont <br />8 <br />HSC 25291 (f) <br />Automatic line leak detector(s) <br />9 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />27 <br />CCR 2662 <br />for underground piping <br />10 <br />CCR 2632 (c)(2) <br />Continuous monitoring system <br />28 <br />CCR 2661 <br />for UST <br />11 <br />HSC 25291 (a)(2) <br />Secondary containment for <br />UST is tight <br />12 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />for dispenser system <br />13 <br />CCR 2635 (b)(1) <br />Spill container <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />15 <br />CCR 2631 (a) <br />Primary containment is product - <br />tight <br />16 <br />HSC 25292.1 <br />UST system is operated to <br />prevent unauthorized release <br />17—CCR <br />2650 <br />Recording/reporting <br />unauthorized release <br />18 <br />CCR 2632 (d) <br />Monitoring & response plan <br />19 <br />CCR 2712 (i) <br />Monitoring & response plan is <br />/6>t site <br />M <br />UNRII WST/INSP (rev 724/02) <br />r" <br />20 <br />CCR 2712 (b) <br />Maintenance & monitoring <br />records <br />21 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />22 MO (d) <br />Annual line leak detector test <br />23 <br />0 (d) <br />Annual monitoring certification <br />24 <br />CCR 2643 (d) <br />Daily monitoring of suction <br />piping that is not continuously <br />monitored <br />25 <br />CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gravity <br />piping that is not continuously <br />monitored <br />27 <br />CCR 2662 <br />Upgrade requirements for UST <br />system <br />28 <br />CCR 2661 <br />Permit to repair UST system <br />29HSC <br />25286 (a) <br />Permit to alter monitoring <br />system <br />30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />31 <br />HSC 25298 (b) <br />Permit to temporarily close UST <br />system <br />32 HSC 25298 (c) Permit to close UST system <br />33 HSC 25291 (e) Water in 20 cont analyzed and <br />properly disposed of <br />34CCR 2640 (e) Single wall component within <br />1 000'of Public Well, no ELD <br />35_CCR 2635(a)(2)(A) Cathodic protection testing <br />36 H&SC 25299(a)(9) Disabling leak detect. devices <br />37 Violation(s) not listed above <br />Lt <br />