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' <br />SAN JOAQU|NCOUNTY <br />^ <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California g5202'3029 <br />Telephone: (2US)488'3420Fax: (2O9)4O8^3433Web: <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Designated Operator: Exp. date: <br />inspection <br />Facility address: <br />UST# <br />Product <br />Facility contact: Title: Phone: <br />Piping sy?tem: <br />Inspection type: <br />Violations: <br />�j Routine �-Monitorin� Certification 0 Installation El Other: <br />0 Ml-RDetect 0 M2-RPrev L1 M-3 Both <br />On site Technician's Name: <br />ICC Service Technician Exp. Date: <br />Manufacturer's Training: <br />f L1 <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Hea'Ith & Safety Code; CCR=California Code of Regulations' <br />R <br />V <br />1 <br />HSC 25284 <br />No permit to operate <br />2 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (0 test notification not <br />provided to the EHD at least 48 hours prior to conducting the test <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the EHD <br />5 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plan) is not current or approved by the local agency <br />6 <br />CCR 2712(i) <br />Monitoring and/or response plan is not onsite <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 % years, Mi) <br />written performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />7 <br />CCR 2712(b) <br />upgrades for the life of the tank. Monitormg records include: (1) date and time of all monitoring or sampling; (2) <br />monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) results of <br />sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitodng equipment, <br />ground water elevations, or other test results: (6) results of inventory readings and reconciliations. <br />8 <br />CCR 2643(d) <br />Daily monitoring of suction piping (pre -January 1, 1984) not performed <br />9 <br />HSC 25292.1 <br />UST system is not operated to prevent unauthorized release, including spills and overfills <br />10 <br />CCR 2632(c)(2) <br />Monitoring system is not present in the interstitial space of a double walled UST/piping Mi) <br />I I <br />CCR 2630(d) <br />LIST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity (MI) <br />X <br />12 <br />HSC 25291 (b) <br />LIST system monitoring equipment is not operational (MI) <br />13 <br />CCR 2636(f)(1) <br />Failed to maintain a continuous monitoring system for underground piping & UDC That—to activates an (MI) <br />audible and visual alarm or stops flow of product at the dispe2ser when it detects a leak <br />14 <br />CCR 2631 (a) <br />Primary containment is not product fight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for LIST system is not tight <br />16 <br />CCR 2636(c)(1) <br />All releases in secondary piping do not flow to a collection sump <br />17 <br />HSC 25291 (f) <br />Line leak detector(s) not installed (Mi) <br />18 <br />CCR 2635(b)(1) <br />Spill container not installed, failed to contain a minimum capacity of five galions, or failed to provide (M2) <br />a means to keep the spill container empty <br />19 <br />CCR 2635(b)(2) <br />Overfill prevention system was overridden or failed to meet overfill requirements in this section Mi) <br />20 <br />CCR 2636(a) <br />Failed to have secondary containment or continuous monitoring (includes conventional suction piping) <br />21 <br />HSC 25291 (e) <br />Water in 20 containment not removed, analyzed & properly disposed of <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (Mi) <br />22 <br />CCR 2650 <br />was not recorded; (a) escaped secondary containment, not cleaned ulo—after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />23a <br />CCR 2715(a) <br />Failed to info" the EHD of a change of designated operator within 30 days <br />23b <br />CCR 2715(b) <br />Designated operator did not possess a current ICC LIST System Operator certification <br />Designated operator monthly inspection: (c)(1) alarms not documented; (c)(2-4) spill containers, UDCs, and <br />23c <br />CCR 2715(c), (d), (e) <br />sumps (if necessary) not inspected; (c)(5) required test dates not checked or noted; (c)(6) employee training not <br />verified; (d)(e) monthly inspection re2orts not maintained on site for at least 12 months <br />23d <br />CCR 2715(f) <br />ated operator employee training: (1) not performed; (2) not current for at least one employee on site; (3) <br />�D pt <br />EHDINSPECTOR: 1; <br />RECEIVED By.- <br />TITLE: <br />Al <br />sxo/o*2-0o2REV 1000 Page UST INSPECTION REPORT <br />