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SAN JOAQUIN COUNTY <br /> N V IRONMENTAL HEALTH DEPARTMENT <br /> 304 Weber Avenue,3`d Floor, Stockton,CA 95202 708 <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: Designated Operator: Inspection Date: <br /> ffta A CAC../ Dr-) Joc' SLE'( t-11-01 <br /> Facility address: UST# t7� , <br /> tos-t$ N l Ott - Prooduct � $9 <br /> �/ -Ql <br /> Facility Contact: Title: - Phone: O , <br /> (;ILAL- (avt+AMMA-O MA*JAuERail-1o15`� L <br /> Monitoring Panel: Pi ing system: O erfill prevention: <br /> 7b 5r� Pressurized ❑Suction ❑Cravity echanical ❑Audible/visual <br /> Inspection type: Violations: <br /> Routine onitoring Certification ❑Installation D Other: 1-RDetect U M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> 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 onsibilit and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712 i Monitoring&response plan is onsite <br /> 7 CCR 2712 b Maintenance&monitoring records Ml <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 (MI) <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 HSC 25291 b) UST system monitoring equipment isoperational M2) <br /> 13 CCR 2636 t)(1) Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631 a) Primary containment is.product tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> _16 CCR 2636(c)(1) All releases in secondary pipingflow to a collection sump <br /> 17 HSC 25291 (f) Line leak detectors are installed Mt <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 suction p piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recordin /re ortin of unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection; Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals ill containment testing - <br /> 27 CCR 2636 4) Annual line tightness test (Ml) <br /> 28 CCR 2661 Repair for tank/piping has had tightness test M2 <br /> 29 CCR 2643 a Biennial ti htness test of gravity pipingre-Jana 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jana 1, 1984) (MI <br /> 31 HSC 25292.5 Double wall system located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit torepair UST system <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 leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other: <br /> EBD�I�NSPEC� T�O/R: PHONE: UIC <br /> V Ai- ls�(� ,�p Scone system: <br /> Serves>_20 people/day <br /> RECEIVE B TITLE L Receives other than sanitary waste <br /> Other disposal methods <br /> Dry wells/French Drains <br /> RHD 23-02-002 <br />