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SAN JOAQl3IA THDEY INE^ E� nED <br /> % .✓IRONMENTAL HEALTH DEPARTMENT q/ Iu�U1 I(V�" \lV/1 <br /> 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sigov.orglehd JUL 1 1 2006 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Designated Oper <br /> Facility name; PERMITJSE VICES !Date; <br /> C1 T,; <br /> 7�t1(!C/lJ , <br /> UST# . <br /> Facility address: L <br /> '7011 S (11-?PLYf" l,�fk'1.-1 -Product �pii;CL <br /> Facility Contact: Title Phone: <br /> — ! 4f <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> V(- !0 i S i S� 6'Pressudzed ❑Suction ❑Gravity Ymechanical ❑Audible/visual <br /> 71 ection type: / Violations: <br /> CYRoutme O'Monitorin Certification ❑Installation ❑Other: ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATIONS) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 b & c) Current Unified Program Consolidated Forms on file with EHD(FacilitX and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712 i) Monitoring&respanse plan is onsite <br /> 7 CCR 2712 6 Maintenance&monitoring records M1 <br /> 8 CCR 2643 d) Dail y monitoring of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST.monitoring system is present Ml <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak M1 <br /> 12 HSC 25291 6 UST system monitoring equipment isoperational M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631 a Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635 1 Spill container M2) <br /> 19 CCR 2635 (b)(2 Overfill Prevention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 RecOrdiR re orting of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection; Employee training <br /> 24 CCR 2638 a Annual monitorin certification <br /> 25 CCR 2638 a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line rightness test (MI) <br /> 28 CCR 2661 ( Repair for tank/piping has had ti tress test (M2) <br /> 29 CCR 2643 e Biennial tightness test of gravity piping(pre-January 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jana 1, 1984) (MI) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to re air UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298. Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299 <br /> a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a) Illegal abandonment of UST system <br /> 38 Other,. <br /> EHD INSPECTOR: PHONE: UIC <br /> �l l ��Y7 C 6" k >u 39 Septic system: <br /> O Serves>_20 people/day <br /> RECEIVED BY: Z TITLE: ❑Receives other than sanitary waste <br /> Other disposal methods: <br /> ❑Dry wells/French Drains <br /> F.HD 23-02-002 <br />