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SAN JOAQUIN COUNTY 1 <br /> 7 d IRONMENTAL HEALTH DEPARTMENT <br /> East Weber Avenue,3rd on,CA 95202-2 8 d <br /> 304 Ea 468-3433 eb;www.s' ay.or ch <br /> Telephone: (209)468-3420 ux: (2 9) <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT y Inspection Rate: <br /> Des!gn�at dg 0Xrator�4/j <br /> Facility name: ` �^^'fIz� <br /> t,7'(Gm <br /> UST 4 <br /> Facility address: i0 7 GO A) a dress'- Product �r <br /> {593 Title: (� Phone: <br /> Facility Contact- � � Zo f 19'37,5970 <br /> OYer{tl <br /> V <br /> l <br /> Piping system. hant <br /> Monitoring Pane: Suction C Gravi e <br /> c. <br /> TZ-53 C Pressurized <br /> Violations: <br /> M2-RPrev ❑M-3 Both <br /> Ins pe on type: [1 Othet°: C1 Srtl-RDetect V R <br /> 41kC installation <br /> outine onitoring Certification V <br /> # Code Section <br /> VIOLATION(S) HSC=Califo i V alth n;RVtReoeat Violation ltfomta Code of Regulations <br /> 1 HSC 25284 Permit too erate <br /> 2 CCR 2637 Second containment test Performed <br /> 3 CCR 271] (b & c Current Unified Program Consolidated Forms on file with <br /> Ell Facilit and tank form <br /> 4 HSC 25292.2 Certification of financial res ansibilit and CFO letter <br /> 5 CCR 2632 c (2 D) Monitoring&response [an is current and filed with the local a enc <br /> 6 CCR 2712(i) <br /> Monitorin &response lan is onsite MI <br /> 7 CCR 2712(b) Maintenance&Mon* <br /> records 1984 <br /> g CCR 2643(d) Dail monitorin of suction i in ( re-Jana , 1, <br /> UST s stem is o erated to revert unauthorized release Ml <br /> g HSC 25292.1 Ml <br /> 10 CCR 2632 c(2 UST monitorin s stem is resent <br /> UST system monitoringc ui ment is ro erl located to detect a leak M2 <br /> 11 CCR 2634(d M1 <br /> 12 HSC 25291 UST s stem monitorin a ui rnent iso erational <br /> 13 CCR 2636 1 Continuous monitorin s stem far under round i in &UDC is resent <br /> 14 CCR 2631 a) Primar containment is roduct tight <br /> 15 HSC 25291 a 2) Secondary containment for UST is tight <br /> 6 CCR 2636 c 1 All releases in second i in flow to a collection sum (M1 <br /> 17 HSC 25291 (f) Line leak detector(s)are installed (MZ <br /> 18 CCR 2635(b)(1) spill container M2 <br /> 19 CCR 2635 b) 2) Overfill prevention s otem <br /> 20 CCR 2636(a) Conventional suction i in shall have continuous mor itorin &2°containment <br /> 21 HSC 25291 (e) Water in 2°cantainment analyzed& ro erly disposed of M1 <br /> 22 CCR 2650 Recordin re ortin of unauthorized releases rn o ee <br /> 23 CCR 2715 Desi Hated O erator: (a}Statement from UST owner; (c <br /> 24 CCR 2638 a Annual monitorinS certification (NI 1) <br /> 25 CCR 2638 a) Annual line leak detector test <br /> 26 HSC 25284.2 Annuals ill containment testin (111 <br /> 27 CCR 2636 f)4 Annual line ti jhtness test M2 <br /> 28 CCR 2661 (f) Re air for tank! i in has had tightness test <br /> 29 CCR 2643(e Biennial ti fitness test of gravitypipin-( re-Januar 1, 9984 (MI <br /> 30 CCR 2643(d Triennial line test for conventional suction i in (pre-January1, 1984 <br /> 31 HSC 25292.5 Double wall s stem located within 9400'of ublic well-ELD <br /> 32 CCR 2661 Permit to repair UST s stem <br /> 33 HSC 25286 a) Permirina Sys <br /> 34 HSC 25298 b Permit to tem orarily close UST s stem <br /> 35 HSC 25298(c Per to close UST s stem <br /> 36 HSC 25299(a) 9) Di abling leak detection devices <br /> 37 HSC 25298 a Ille al abandonment of UST s stem <br /> 38 Other: UIC <br /> PHONE: <br /> EHDINSP CT � l ,JJI�'�3 4f t/Q Se tics stem: <br /> .,../ l _`�l .Serves>-20 people/day <br /> TITLE: ❑Receives other than sanitary waste <br /> R 'El\E /'}� �,. _Other disposal methods: <br /> fj4� I /t wells/French Drains <br /> F.HD 23-02-002 <br />