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� ! Y c� SAN JOAQUIN COUNTY , �. ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s' ov.or ehd/unitiii.html UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Facility name: Inspection date: A-7 Axi-A' C' m M 1 Zo 16 Facility address: UST V l Product Facility con Title: \J ) -Phone,e Dzz ORA12 - Ar -,9 dt Monitoring PSI: Piping system: Overfill prevention: Violations: IT r 3 � ❑ � udible/+rlsual b� S Pressurized Kuction ❑Gravity apical ❑Mt-RDetect ❑M2-RPrev ❑M-3 Both ! L Inspection type: Designated operator: ICC exp.date: Pcutine AAonitoring Certification ❑Installation ❑Other. 6S 7� ,rj� W 12-/1/�j On site Service Technician's name: ICC exj. d pf I Manuifac"tureees training:"'��[[[ Victor 6 verrQr'v 9017601-1).r � Vp' v VIOLATIONS V R Code Section # NSC=CA Health&S2fey Code'CCR=CA Code of Regulations;V=Violation; RV=Repeat Violation V 1 HSC 25284 No permit to operate Secondary containment:(a)test not performed;(e)test report not submitted within 30 days; (f)test 2 CCR 2637 notification not provided tot11, ipnmental Health Department(EHD)at least 48 hours prior to Gond ctin the test ? Jv 3 CCR 2711 b & c Current Unified Program Consolidated Forms not on file with fhe EHD(Facility and tank form 4, HSC 25292.2 Current financial responsibility documents not on file with the.EHD 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plans is not current or approved by the EHD 6 CCR 2712(i) Monitoring and/or response plan is not onsite , Maintenance&monitoring records not maintained•3 years,cathodic protection records for 6'/ Will years,written performance claims pertaining to release detection systems for 5 years,or records of repairs,linings,and upgrades for the life of the tank. Monitoring records include: (1)date and time of 7 CCR 2712(b) all monitoring or sampling;(2)monitoring equipment calibration and maintenance records;(3)results of any visual observations; (4)results of sample analysis performed a lab or in the field; (5)logs of all readings of gauges or other monitoring equipment,ground water elevations,or other test results; (6) results of inventory readings and reconciliations 8 CCR 2643(d) Daily monitoring of suction pipina(pre-January1, 1984 not rformed ist 9 HSC 25292.1 UST system is not operated to prevent unauthorized release,including spills and overfills 10 CCR 2632(c)CQ Monitoring system is not present in the interstitials ace of a double walled UST/piping Mt 11 CCR 2630(d) UST monkodng equipm2nt is not installed or maintained to detect a leak at the earliest opportunity(mi) 12 HSC 25291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (M1) containment 13 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (M1) an audible and visual alarm or stops flow of product at the dispenser when it detects a leak 14 CCR 2631 a Primary containment is not product tight 15 HSC 25291 a 2 Secondary containment for UST system is not tight 16 CCR 2636(p)(1) All releases in secondary pipingdo not flow to a collection sum 17 CCR 2636(f)(2) Line leak detectors not installed or failed to detect a3-gallon per hour leak at 10 psi M1 18 CCR 2635(b)(1) Spill container not installed,failed to contain a minimum capacity of five gallons,or failed to (M2) provide a means to keep the spill container empty 19 CCR 2635(b)(2) Overfill prevention system was overridden or failed to meet overfill requirements in this section M2 20 CCR 2636(a) Failed to have secondary containment for piping(includes conventional suction piping) M2 21 HSC 25291 a Water in 2°containment not removed,analyzed&propedy disposed of Unauthorized release that: (c)did not escape secondary containment ig cleaned up within eight (mi) 22 CCR 2650 hours was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of product was not reported to the EHD within 24 hours 23a I CCR 2715(a) Failed to inform the EHD of a chance of designated operator within 30 days 23b I CCR 2715(b) Designated operator did not possess a current ICC UST System Operator certification EHD ins or. Received Idle:EHD Z3-02-002 REV 04#(8110 Page 1 UST OFFICIAL INSPECTION REPORT