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02/08/2005 15: 18 2094683433 FIFTH FLOOR PAGE 02 <br /> DATE" <br /> SAN JOAQUIN COUNTY PR# <br /> ENViRONMENTAIL HEALTH DEPARTMENT PAGE <br /> 304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br /> (209)463-3420 <br /> UNDERGROUND-STORAGE TANK (UST)•PROGRAM INSPECTION REPORT <br /> Facility Name \6kz z .Facility Address-1 5,1`r <br /> Facilty Contact wQy:r- (rs Title ,,4g,&Cgz - Phone # 69ds�> X32 - $1 <br /> UST# I Product UST# VProduct UST#-Prod U, ct _UST# Product_ <br /> Overfill Prevention: AudibleNi al 0 Mechanical Monitoring P nel� <br /> Piping System: o Gravity �ressure ❑ Suction � [� Violations: 29M1-RDet 0 M2-RP! v C M3-2oth <br /> Automatic Pum Shut_ D wn Satisfi s CCR 2636 5 : ❑Yes 1SIiNo Designated Opera tor: <br /> INSPECTION TYPE: outine ❑ onitoring Certification GComplaint ❑Install oRemovat ❑Repair/Upgrade <br /> COMPANY NAME TECHNICIAN NAME.. PHONE: <br /> VIOLATION(S) <br /> The above facility is not in compliance with the following Section(S) of Health & Safety Cody: (HSC) andfor <br /> California Code of Regulations (CCR): <br /> 1 HSC 25284 Permit to operate 23 CCR 2643 (d) Daily monitoring of suction <br /> 2 CCR 2637 Secondary cont. testing piping (pre-111/84) <br /> 3 CCR 271.1(b)& (c) Current State Forms A& S 24_CCR 2635-(a) Conventional suction piping <br /> 4=HSC 25292.2 Certification of financial shall have continuous <br /> respbnsibility&CFO letter monitoring &2° containment <br /> 5 CCR 2632 (c)(2) UST monitoring is present (MI) 25 CCR 2643 (e) Biennial tightness test of gravity. <br /> 6 CCR 2630 (d) UST systern monitoring piping (pre-1111$4) <br /> equipment is properly located to 26_- CCR 2643 (d) Triennial line test for <br /> detect a leak (M1) conventional suction (pre- <br /> 7 HSC 25291 (b) UST system monitoring / 111/84) (M1) <br /> equipment is operational (M1) 27 ✓ CCR 2661 Permit to repair UST system <br /> B-CCR 2636 (f)(1) Continuous monitoring system 28 HSC 25286 (a) Permit to alter monitoring <br /> for underground piping & UDC system <br /> is present (M1) 29 HSC 25298 (a) Illegal abandonment of UST <br /> 9 CCR 2836 (c)(1) All releases in secondary piping system <br /> flow to a collection sump 30 HSC 25298 (b) Permit to temporarily close US i <br /> 10 NSG 25291 (f) Line leak detector(s) (M1) system <br /> 11 HSC 25291(a)(2) Secondary containment for 31 HSC 25298 (c) Permit to close UST system <br /> LEST is tight 32 HSC 25292.1 UST system is operated to <br /> 12 CCR 2635 (b)(1) Spill container(M2) prevent unauthorized release <br /> 13�HSC 25284.2 Annual spill container testing 33�CCR 2650 Recording/reporting <br /> 14 CCR 2635 (b)(2) Overfill prevention system (M2) unauthorized release (M1) <br /> 15 CCR.2631 (a) Primary containment is product- 34 HSC 25291 (e) Water in 20 cont analyzed and <br /> tight properly disposed of <br /> 16 CCR 2632 (c)(2)(o)Monitoring &response plan, 35 COR 2640 (e) Single wall component within <br /> 17 CCR 2.712 (1) Monitoring &response plan is 1000`of Public Well, no ELD <br /> on site 36 CCR 2635(a)(2)(A) Cathodic protection testing& <br /> 18 CCR 2712 (b) Maintenance & monitoring 60 day inspection Ipg (M2) <br /> records (M1) 37-- HSC 25299(a)(9) Disabling leak detect. Devices . <br /> 19�CCR 2636 (f)(4) Annual line tightness test $8 CCR 2715(a) Statement from UST oviner <br /> 20 CCR 2638 (a) Annual line leak detector test 39 CCR 2715(c) Monthly inspection by D.O, <br /> (M1) 140 CCR 2715(f) D.Q. trained employees <br /> 21 CCR 2638 (a) Annual monitoring certification 41� Violetion(s) not Listed above <br /> 22 CCR 2661 (f) Repair for tanklpiping has had <br /> tightness test M.2 <br /> END INSPECTOR: PHONE: <br /> RECEIVED BY. TITLE: <br /> Septic 5y m: D Serves 2:20 personslday 0 Receives other than sanitary waste <br /> Other Disposa Units Identified: d Dry wellsfFreoch brains <br /> C:ZOCUmz-1%;ad%Qn\LOCALS-riTcnV1 JS71nspecUana-15.04 ApG <br />