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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT• <br /> 304 East Weber Avenue,3`a Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj og_v_or ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Dale: <br /> USc GZ�6ea�t Nv #k6� e�'t't 5'PlT'�E1� a3-3o-06 <br /> Facility address: UST# S <br /> 1XOtJ W. �Pl 1>vlE. <br /> " Product 6fi 89 <br /> Facility Contact: Title: Phone: <br /> �.N�`� a c.:►arZ.ia-u.E ®F+acxri s5+95'&SSt.s7o ' 91 <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> ?1.3-3570 ressurized ❑Suction ❑Gravity echanical ❑Audible/visual <br /> Ins ection type: Violations: <br /> Routine ❑Monitoring Certification ❑Installation ❑Other: ❑MI-RDetect ❑M2-RPtev ❑M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=California Code of Regulations V R V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <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 /> _ <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 monitoring of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present M1 <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak MI <br /> 12 HSC 25291 b UST system monitoring equipment isoperational ' M2) <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 : CCR 2631 (a) Primary.containment is pproduct tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary.piping flow to a collection sum <br /> 17 HSC 25291 (0 Line leak detectors are installed (M1 <br /> 18 CCR 2635'(b)(1) Spill container (M2 <br /> 19 CCR 2635 (b)(2) Overfill prevention system (M2 <br /> 20 CCR 2636(a) Conventional suctionpipingpshall have continuous monitoring&2°.containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection; H Employee training <br /> 24 CCR2638 a Annual monitoring certification <br /> 25 CCR 2638 a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 (4) Annual line tightness test (MI) <br /> 28 CCR 2661 ( Repairp for tank/pipingg has had tightness test (M2 <br /> 29 CCR 2643 e Biennial tightness test of gravity piping(pre-January 1, 1984 <br /> 30 CCR 2643 (d) Triennial line test for conventional suction piping re-Jams 1, 1984 Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000' of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> . <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 ') Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 a)(9) Disabling Icakldetection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other. <br /> EHD INSPECTOR: PHONE: BIC <br /> LOW tAele% Septic system: <br /> ❑Serves.220 people/day <br /> RECEIY . Y: TITLE: ❑Receives other than sanitary waste <br /> ��_ps Other disposal methods: <br /> ❑Dry wells/French Drains <br /> F.HD 23-02-002 <br />