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SAN JOAQUIN COUNTY <br /> ?N V IRONMENTAL HEALTH'x`"" DEPARTMENT�� <br /> 304 ' Weber Avenue,3`a Floor, Stockton,CA 952(12708 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.s' ov.or -ehd <br /> UNDERGROUND STORAGE TAMC(UST) PROGRAM INSPECTION REPORT <br /> Designated Operator: Inspection Date: <br /> FFacility <br /> acility name: <br /> y _ <br /> UST# �•t!" <br /> address: - <br /> Product <br /> Fa ility Contact: Title: Phone: <br /> �QOki� J,� q I6 q <br /> n,�°�rmg Panel: Plying system: Overfill prevention: <br /> Mo <br /> Il.p�l�M� `Pressurized I SLI6011 G Gravity echanical ❑Audible/visual <br /> Violations: <br /> In etion type: <br /> utine ❑Monitoring C'ertitication ❑Instal�SC=Cai`ifo�ia <br /> ther: ©M]-RDetect ❑M2-RPrev M-3 Both <br /> V R <br /> # Code Section <br /> VIOLATION(S) HHealth&Safety Code;CCR=California Code of Regulations V <br /> Violation;RV=Re eat Violation <br /> I HSC 25284 Permit to a erate <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 <br /> 5 CCR 2632 c 2 (D) Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712 i) Monitoring&response plan is onsite <br /> 7 CCR 2712 b) Maintenance&monitoring records (MI) <br /> 8 CCR 2643(d) Daily mo itoring of suction piping re-Janu , 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoringsystem is resent (MI) <br /> 1 l CCR 2630(d2 UST system monitoring equipment is prop rly located to detect a leak M I <br /> 12 HSC 25291 (b) UST system monitoring equipment isoperational M2 <br /> 13 CCR 2636 1 Continuous monitoring system for under round piping&UDC is present M1 <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 Line leak detector(s)are installed (MI) <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill orevention system M2 <br /> 20 CCR 2636(a) Conventional suction 2iping shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 RecordinLrcporting of unauthorized releases MI <br /> 23 CCR 2715 Designated Operator: (a)Statement from UST owner; (c-e)Monthly inspection;( Em lovice 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 MI) <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e) Biennial tightness test ofgravity piping( re-Januar 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional stiction piping(pre-January 1, 1984) (MI) <br /> 31 HSC 25292.5 Double wall system located within 1000'ofpublic 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 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) IIIe gal abandonment of UST system <br /> 38 Other: J _ <br /> E INSPE TOR: PHOVE: tIIC _ <br /> ���g t(l� Septic�Serv�em: <br /> `7(© plR BY: TITLE: sanitary waste <br /> Otheosal methods: <br /> bo'-A AA's 2�� wells/French Drains <br /> Ytr. <br /> F.i-DD 23-02-002 <br />