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SAN JOAQUIN COUNTY <br /> a+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202- O8 <br /> Telephone. (209)468-3420 Fox. (209)468-3433 Web.www.sigov.ore/ehd <br /> I Y <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> \jP(v f0 w '3wlq IDAWO nr atlSr�trl� 2-tb—o� <br /> Facility address: Q UST <br /> �� �' ✓�' Product <br /> Facility Contact: Title: Phone: <br /> kt' `�9 S R►�IAlnrrR— 32—�t61�9 <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> lt.(IjE 9_0 6W-i Pressurized ❑Suction ❑Gravity ❑Mechanical Audible/visual <br /> Inspection type: Violations: <br /> 'Routine Almonitoring Certification ❑Installation ❑Other: MI-RDetect ❑M2-RPrev D M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R V=Violation;RV=Re eat Violation V <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondarycontainment test performed <br /> 3 CCR 2711 & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibilityy and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local agency <br /> 6 1 CCR 2712 i Monitoring&response plan is onsite <br /> 7 CCR 2712 6 Maintenance&monitoring records MI <br /> 8 1 CCR 2643(d) Daily monitoring of suction piping( re-Jams 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 1) <br /> 1 I CCR 2630(d) UST system monitoring equipment is properly located to detect a leak M7 <br /> 12 HSC 25291 (b) UST system monitoring equipment isoperational 1 M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present M] <br /> 14 1 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 lreleases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635(b(1) Sill 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 Recordin reporfing of unauthorized releases Ml. <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-c)Monthly inspection; t)Employee trainin <br /> 24 CCR 2638 a Annual monitoring'certification <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test Ml <br /> 28 CCR 2661 Repair fortank/ iping has had ltightness test (M2) <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1, 1984 (Ml) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to re airUST s stem <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(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONE: CIC <br /> \N NG `f L 1� septic system: <br /> Serves>_20 people/day <br /> RECEIVED B TITLE: '_:Receives other than sanitary waste <br /> '•' Other disposal methods: <br /> G Dry wells/French Drains <br /> EHD 23-02-002 <br />