Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL 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 INSPECTION REPORT <br />Facility name: <br />� <br />Designated Operat r: <br />/Y � ti 14R, e I l "�� <br />Sa <br />Inspection <br />Date <br />�o Z D <br />Facility address: <br />�i`� regi-0�. �(�L� <br />UST # <br />'Product <br />Facility Contact: <br />EIS r j <br />Title: Phone: <br />41 b (I &t4, <br />Mor toying Panel: <br />1� C. <br />Piping system: <br />ressurized ❑ Suction ❑ Gravityechanical <br />Overfill prevention: <br />ElAudible/visual <br />Inspection type: <br />outine onitoring <br />Certification ❑ Installation ❑ Other: <br />iolations. <br />❑ M1-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b & c <br />Ix <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 b <br />Monitorin 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 b <br />Maintenance & monitoring records (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 (M1) <br />11 <br />12 <br />CCR 2630 d <br />HSC 25291 b <br />UST system monitoring equipment is properly located to detect a leak M1) <br />UST system monitoring equipment is operational (M1) <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitorings stem for underground piping & UDC is present (M1) <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 piping flow to a collection sum <br />17 <br />18 <br />19 <br />HSC 25291 f <br />CCR 2635 (b)(1) <br />CCR 2635 (b)(2) <br />Line leak detector(s) are installed (M1) <br />Spill container (M2) <br />Overfill prevention system (M2) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 21 containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />23 <br />CCR 2650 <br />CCR 2715 <br />Recording/reporting of unauthorized releases M1) <br />Designated Operator: a Statement from UST owner; (c -e) Monthly inspection; Employee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />26 <br />CCR 2638 a <br />HSC 25284.2 <br />Annual line leak detector test (M1) <br />Annuals ill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test (M1) <br />28 <br />CCR 2661 f <br />Repair for tank/piping has had tightness test (M2)--- <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity piping(pre-January 1, 1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (pre -January 1, 1984) (M1) <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 <br />a 9 f 2 <br />Disabling leak detection devices <br />37 <br />HSC 25298 a <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EN <br />SPECTOR: <br />PHONE: UIC <br />(Zo; OCA `� Septic system: <br />G ❑ Serves >_20 people/day <br />TITLE: ❑ Receives other tha nitary waste <br />Other disposal methods <br />❑ Dry wells/French Drains <br />RECEIVE BY: <br />EHD 23-02-002 REV 8/08 <br />