Laserfiche WebLink
SAN JOAQUIN COUNTY 0 <br />ONVIRCINMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone. • (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Designated Operator: <br />Inspection Date: <br />.7-U"tis <br />Facility address: <br />C <br />LIST # <br />Product <br />i <br />Facility ContacC <br />Title: Phone: <br />Monitoring Panel: <br />Pi ing system: <br />Pressurized Us"uction L Gravity <br />O ri ill prevention: <br />VMKhanical ❑ Audible/visual <br />1 <br />ection type: <br />outine onitoring Certification ❑ Installation ❑ Other: <br />vi ations: <br />LLvm1-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />v R <br />V <br />I <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b & (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 (i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b) <br />Maintenance & monitoring records <br />MI <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 e)(2) <br />UST monitoring system is present <br />MI) <br />I I <br />CCR 2630 d) <br />UST s stem monitoring equipment is properly located to detect a leak <br />Mt <br />12 <br />HSC 25291 b <br />UST system monitoring equipment isoperational <br />M2) <br />13 <br />CCR 2636 f)(1) <br />Continuous monitoring system for underground piping & UDC is present <br />M1 <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 piping flow to a collection sum <br />17 <br />HSC 25291 (f) <br />Line leak detector(s) are installed <br />(M1 <br />18 <br />CCR 2635 (b)(1) <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 piping shall have continuous monitoring & 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />Ml <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) MonthlX inspection; (f) 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 (f) <br />Repair for tank/piping has had tightness test <br />(M2 <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping(re-Januar 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping (re -Jana 1, 1984) <br />(Mi) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of public dell-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 LIST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECTOR <br />ff&.2 <br />C' �'w <br />PHONE: UIC <br />li-Y�ti Septic system: <br />�,] Serves >20 people/day <br />TITLE: Receives other than sanitary waste <br />Other disposal methods: <br />C,( eVA Alc C_ Dry wells/French Drains <br />RECEIVED BY: <br />EFID 23-02-002 <br />