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6- SAN JOAQUIIN 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.sj ov.or ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: -- D� ted OpInspection Date: <br /> C W A �7 �"�L� to l <br /> ) <br /> Facility address: ,�//' r /� c [ / � 1� UST <br /> s-oC/ Q F�--cF J V �" Product i <br /> Facility Contact: Title: Phone: <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> u D &ressurized ❑Suction ❑Gravity echanicai ❑Audible/visual <br /> Inspection type: solations: <br /> Routine YMonitoring Certification ❑Installation ❑Other: 0 M1-RDetect ❑M2-RPrev -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 Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter !1 <br /> 5 CCR 2632 b Monitoring Pro am Monitorin &Response Plan)is current and approved by the local agency. <br /> 6 1 CCR 2712 i) Monitoring plan is onsite. <br /> 7 CCR 2712 b) Maintenance&monitoring records M1) <br /> 8 CCR 2643(d) Daily monitoring of suction piping in ( re-Janu , 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitorin system is present (M1) <br /> 1 I CCR 2630(d) UST system monitoring equipment is properly located to detect a leak M1 <br /> 12 HSC 25291 b) UST system monitoring equipment is operational 9 r&,u-- (M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present (Mi) <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 f) bine leak detector(s)are installed (M1) <br /> 18 CCR 2635(b)(i) 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&2°containment <br /> 21 j HSC 25291 (e) er in 2°containment analyzed&properly disposed of <br /> 22 1 CCR 2650 Rccording7brporting of unauthorized releases (MI) <br /> 23 CCA 2715e ' ed Operator: (a)Statement from UST owner; (c-e)Monthly inspection, f)Employee training <br /> 24 CCR 2638 a) Annual monitoring certification <br /> 25 CCR 2638 a) Annual line leak detector test (M1) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test M1) <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e) Biennial tightness test of gravity pipingre-Janus 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-January, 1, 1984) (M1) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public 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 1 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 of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONE: UIC <br /> j <br /> Sq <br /> tic stem: <br /> k-4 vt"r-j -Is >_20 people/day <br /> RECEIVED Y: TITLE Receiv then than sanitary waste <br /> Other disoposgal m ods: <br /> Dry wells/Fr Drains <br /> EHD 23-02-002 REV 05/07 <br />