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SAN JOAQUIN COUNTY <br /> .,ENVIRONMENTAL HEALTH DEPARTMENT.! <br /> 600 cast Main Street, Stockton, California 95202-4029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.smqov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Oper�itor: Inspection <br /> Mn 1. /1 jq..,p„ _ . 1\eW" lL ZZY �1/tn(l(V✓ Date: T,4& <br /> tciWrlyt �1 rUvvl l/VtY/rrvTl LI —I1--fl <br /> FalIcility address: UST# - I - <br /> VO AE <br /> LY� -Product <br /> Facility Contact: Title: Phone: <br /> Mo 'coring Panel• Piping system: erfll prevention: <br /> 350 Pressurized ❑Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: Violations: <br /> ❑Routine Monitoring Certification ❑Installation ❑Other. ❑M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section VIOLATION(S) HSC=CaI•Ifomia Health&Safety Code;CCR=CaI'tfomia Code of Regulations V R <br /> 1 HSC 25284 Permit to operate V=Violation;RV=Re eat Violation V <br /> 2 CCR 2637 Secondary containment test rformed P 5 <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 b Monitoring Pr ram (Monitoring& Response Plan is current and al3proved by the local agency. <br /> 6 CCR 2712 i Monitoring Ian is onsite. <br /> 7 CCR 2712 b Maintenance&monitoring records M1 <br /> 8 CCR 2643 d Dail monitoringof suction piping re-Janus , 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 M1 <br /> 12 HSC 25291 b UST system monitoring equipment isoperational (M1 <br /> 13 CCR 2636 1 Continuous monitorin2 system for underground 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 fight <br /> 16 1 CCR 2636(c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 1 HSC 25291 Line leak detectors are installed M1 <br /> 18 1 CCR 2635(b)(1) Spill container (1012 <br /> 19 1 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 1 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 ReGording/reporting of unauthorized releases M1 <br /> 23 CCR 2715 Designated O erator: a Statement from UST owner; c-e Monthlyinspection; Em to ee training <br /> 24 CCR 2638 a Annual monitoringcertification _104 <br /> 25 CCR 2638 a Annual line leak detector test M1 <br /> 26 HSC 25284.2 Annuals ill containment testin <br /> 27 CCR 2636 4 Annual line tightness test IRADL <br /> 28 CCR 2661 Re air for tank/piping has had tightness test M2 <br /> 29 1 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(p anuary 1, 1984 M1 <br /> 31 HSC 25292.5 Double wails stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitorin2 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 Disabling leak detection devices <br /> (aX9 2 <br /> 37 1 HSC 25298 a Ille al abandonment of UST s stem <br /> 38 1 Other. SG o_ 1 <br /> EHD INSPECTOR P ONXL <br /> E* UIC <br /> b/ g Septic system <br /> ❑Serves 20 people/day <br /> RECEIVED B . TITLE: El Receives other than sanitary waste <br /> y41 6LIR Other disposal remethods <br /> Drains <br /> EHO 23-02-002 REV 8108 <br />