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SAN JOAQUIN COUNTY <br />i �IVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202- /08 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj og_ v_org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPFCTinN RRPnRT <br />Facility name: <br />J"r1 *91033 <br />Designated Operator: <br />ALellt- :yflisbiory-t <br />Inspection Date: <br />it -,Ii -o5 <br />Facility address: <br />WProduct <br />UST # <br />Facility Contact: <br />9)R4rJD(sa 511S&LA <br />Title: Phone: <br />ykwt a >Z 465-i 4go <br />Mo�({�ttaring.PPa-InelL: <br />+y, ['� <br />I� , `7 -/ J " <br />P'ping system: <br />ressunzed ❑ Suction 1) Oravit <br />Overfill prevention: <br />echanical ❑ AudibWvisual <br />Inspection type: <br />patine ❑ Monitorin <br />Certification ❑ Installation ❑ Other: <br />-violations: <br />❑ Ml-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 6 & c <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 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 l <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />Mt <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 : <br />Ml <br />11 <br />CCR 2630 d <br />UST s stem monitoring equipment is properly located to detect a leak <br />MI <br />12 <br />HSC 25291 b <br />UST system monitoring equipment is oerational <br />M2 <br />13 <br />CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present <br />Ml <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 pipingflow to a collection sum <br />17 <br />HSC 25291 <br />Line leak detectors are installed <br />MI <br />18 <br />CCR :2635(b)(t <br />Spill container <br />M2 <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />M2 <br />20 <br />CCR 2636 (a). <br />Conventional suction p piping shall have continuous monitoring '& 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 20 containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recordin r porting ofunauthorized ireleases <br />MI <br />23 <br />CCR 2715 <br />Designated O erator: a) Statement from UST owner; (c -e) Monthly inspection; Employee training <br />24 <br />.CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(MI) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 4 <br />Annual line tightness test <br />Ml <br />28 <br />CCR 2661 <br />Repair for tank/piping has had tightness test <br />(M2 <br />29 <br />CCR 2643 e <br />Biennial tightness test of gravity pipingre-Janus 1, 1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suctionpipingp(pre-January 1, 1984 <br />(MI) <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 />3fiHSC <br />16(a)(9) <br />25299 <br />Disablingleak detection devices <br />37 <br />HSC 25298 a <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTOR: <br />PHONE: <br />1 $-.'2�C1�� <br />b l <br />UIC <br />Septic system: <br />❑Serves >_20 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods' <br />G Dry wells/French Drains <br />RECEIVED BY: <br />TITLE: <br />wne}� <br />V <br />EHD 23-02-002 <br />