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0 SAN JOAQUIN COUNTY 10 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s' ov.or ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name- Designated Operator: ij <br /> ectf i Date: <br /> Y& VI <br /> Facility address: _ UST# <br /> lj� ' , <br /> Product <br /> Fa ••yIrtaet: M le: Phone: <br /> ockq'�� <br /> My Itoring Panel: Piping system: Overfill prevention: <br /> \/iv— To Pressurized ❑Suction ❑Gravity ❑Mechanical Audible/visual <br /> Inspection type: Violations: <br /> )(Routine Xmonitoring Certification ❑Installation ❑Other: ❑MI-RDetect 0 M2-RPrcv ❑M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation; RV=Re eat Violation <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 b)& c) Current Unified Pro ram Consolidated Forms on file with EHD Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b) Monitoring Program(Monitoring& Response Plan)is current and approvedby the local agency. <br /> 6 CCR 2712 i) Monitoring Ian is onsite. <br /> 7 CCR 2712 b Maintenance&monitoring records M1) <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-January, I, 1984) <br /> 9 HSC 25292.1 UST system is operated to prevent unauthorized release <br /> 10 CCR 2632 c)(2) UST monitorings stem is present (M 1) <br /> 1 l CCR 2630 d) UST system monitoringe ui ment is properly located to detect a leak M 1) <br /> 12 HSC 25291 b) UST system monitoring equipment isoperational M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present (M1) <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 t Line leak detector(s)are installed M1) <br /> l8 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention s stem M2) <br /> 20 CCR 2636(a) Conventional suction pipinE shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (e) Water in 2 containment analyzed&properly disposed of <br /> 22 CCR 2650 Record in fre ortin o' authorized releases (M l) <br /> 23 CCR 2715 Design tcd Operatof(aVStatement from UST owner; (c-e)Monthly inspection',(t)Employee training" i <br /> 24 CCR 2638 a) Annual monitoring certification <br /> 25 CCR 2638 a) Annual line leak detector test (4M 1) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (M 1) <br /> 28 1 CCR 2661 t) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e) Biennial tightness test of ravity pipingre-Janus I, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-January I, 1984) (MI) <br /> 31 HSC 25242.5 I Double walls stem located within 1000'of ublic well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 b) Permit to temporarily close UST system <br /> 35 HSC 25298 c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a) Illegal abandonment f UST s stem <br /> 38 Other: <br /> EHD 1N TO P ONE:/ UIC <br /> �/ C Jj Septic system: <br /> Serves>_20 people/day <br /> th <br /> RE Y: TITLE: -Receives other than sanitary waste <br /> chi _ Other disposal me ods: <br /> Dry wells/French Drains <br /> EHD 23-02-002 REV 05107 <br />