Laserfiche WebLink
t SAN JOAQUIN COUNTY <br />OVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 952042-0108 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />C <br />Designated Operator: <br />Inspection Date: <br />1/1? -/0 r7 <br />Facility address: . t <br />337 M /1l N S 7 4 /A0 tj <br />UST # <br />Product <br />/ <br />Facility Contact: Title: Phone: <br />"ItINrj6;(z (.�(H OWN�2 Zoe ST?�12313 <br />-. <br />- <br />Monitoring Panel: <br />SZ <br />Piping system: <br />EI sgsurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />❑ Mechanical ❑ Audible/visual <br />Inspection type: — <br />, <br />lR4cutine L#M/ onitorin <br />Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATIONS) HSC=California Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=R eat Violation <br />V R <br />V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 6 & c) <br />Current Unified Program Consolidated Forts on file with EHD(Facility and tank form <br />4 <br />HSC 25292.2 <br />Certification ofQinancial responsibility.and CFO letter <br />5 <br />CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />'.6 <br />CCR 2712 (i) <br />Monitoring &. response plan is onsite <br />7 <br />CCR 2712 6 <br />Maintenance & monitoring records <br />Ml <br />8 <br />CCR 2643 d <br />Daily monitoring of suction piping (pre -January, 1, 1984 <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />MI <br />11 <br />CCR 2630 d <br />UST s stem monitoring equipment is properly located to detect a leak <br />Ml <br />12 <br />HSC 25291 <br />UST system monitoring equipment is operational <br />M2 <br />13 <br />CCR 2636 I <br />Continuous monitoring system for underground piping & UDC is present <br />Ml <br />14 <br />CCR 2631 a <br />Primary.containment isproduct tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />Allreleases in secondary pipingflow to collection sum <br />17 <br />HSC 25291 <br />Line leak detectors are installed <br />M] <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2 <br />19 <br />CCR 2635 (b)(2 <br />Overfill prevention system <br />M2 <br />. 20 <br />CCR 2636 (a) <br />Conventional. suction piping shall have continuous monitoring & 20 containment <br />21 <br />HSC 25291 (e) <br />Water in 20 containment analyzed & properly disposed of <br />22 <br />CCR 2650 - <br />Recordin reporting of unauthorized releases <br />Mi <br />23 <br />CCR 2715 <br />Designate Operator: (a) Statement from UST owner; (c -e) Monthly inspection; f) Employee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 a <br />Annual line leak detector test <br />(M1 <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 4 <br />Annual line tightness test <br />M1 <br />28 <br />CCR 2661 (f) <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity pipingre-Januar 1, 1984 <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suctionpipingp(re-Jams 1, 1984) <br />(MI) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />'Permit to repair UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />IHSC 25298 ( b <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disablingleak detection devices <br />37HSC <br />25298 a) <br />Illegal abandonment of UST system <br />38 <br />Other. <br />EHD INSPECTOR: <br />�f A1P-4- <br />PHONE: <br />�G �C- 3 w3 �j <br />UIC <br />Septic system: <br />❑ Serves >_20 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />❑ Dry wells/French Drains <br />RECEIVED BY: <br />TITLE: //�/J�r <br />V /v cv ` <br />Fttr) 73-02-002 <br />