Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> INVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siooy.orcl/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection <br /> -{-O- 11 Dat <br /> Facility address: UST#,,-' & �7 <br /> logig N, 6� 6NI <br /> Facility Contact: Title: Phone: <br /> 11Mssonitorinlg.�re`l: Pipi g system: Overfill prevention: <br /> IN1 f/ E4V, %pressurized ❑Suction ❑Gravity ) mechanical ❑Audible/visual <br /> Inspection type: violations: <br /> )rRoutine [)Nonitoring Certification ❑Installation ❑Other: M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=California Health &Safety Code; CCR=California CoWenc <br /> R <br /> # Code Section V=Violation; RV=Re eat ViolationV <br /> 1 HSC 25284 Permit too erate <br /> 2 CCR 2637 Seconds containment test performed <br /> 3 CCR 2711 b & c Current Unified Pro ram Consolidated Forms on file with EHD(Facilityand tank <br /> 4 HSC 25292.2 Certification of financial res onsibilit and CFO letter <br /> 5 CCR 2632 b Monitorin Pro ram Monitorin &Res pose Plan is current and approved b t <br /> 6 CCR 2712 i MonitoringIan is onsite. M1 <br /> 7 CCR 2712 b Maintenance&monitoringrecords <br /> 8 CCR 2643 d Dail monitoringof suction pining re-Janus , 1, 1984 <br /> 9 HSC 25292.1 UST s stem iso erated to revent unauthorized releaseMleak <br /> M1 <br /> 10 CCR 2632 c 2 UST monitor in s stem is resent M1 <br /> 11 CCR 2630 d UST s stem monitoringa ui ment is properly located toM112HSC 25291 b UST s stem monitorin a ui ment iso erationalM113 CCR 2636 1 Continuous monitorin s stem for under round i in & <br /> 14 CCR 2631 a Prima containment is roduct'Inht <br /> 15 HSC 25291 a 2 Seconds containment for UST is ti ht <br /> 16 CCR 2636 c 1 All releases inseconda i in flow to a collection sum M1 <br /> 17 HSC 25291 Line leak detectors are installed Men, <br /> 2) <br /> 18 CCR 2635 b 1 S ill container M2 <br /> 19 CCR 2635 b 2 Overfill revention s stem <br /> 20 CCR 2636(a) Conventional suction pining shall have continuous moni <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed M1 <br /> 22 CCR 2650 Recordin /re ortin of unauthorized releases <br /> 23 CCR 2715 Desi nated 0 erator: a Statement from UST owner; nin24 CCR 2638 a Annual monitorin certificationM125 CCR 2638 a Annual line leak detector test26 HSC 25284.2 Annual s ill containment testinM1 <br /> 27 CCR 2636 4 Annual line ti htness test (M2 <br /> 28 CCR 2661 Re air for tank/pipinghas had ti htness test <br /> 29 CCR 2643 a Biennial tihtness test of ravi in re-Janus 1, 1984 M1 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(2re-January1, 1984) <br /> 31 HSC 25292.5 Double walls stem located within 1000' of ublic well-ELD <br /> 32 CCR 2661 Permit to re air UST system <br /> 33 HSC 25286 a Permit to alter monitorin s stem <br /> 34 HSC 25298 b Permit to temDOrary close UST s stem <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299 Disabling leak detection devices <br /> a 9 2 <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other: UIC <br /> EHD SPECTOR: PHONE: <br /> V /( a _ (� Se tics stem: <br /> l Li� (J erves Z20 people/day <br /> RECEIV Y:, TITLE:. <br /> 11 Receives other than sanitary waste <br /> Other disposal methods: <br /> 'Q/Y D Dry wells/French Drains <br /> EHD 2302-002 REV 8/08 <br />