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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL. HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Aw. (209)468-3433 Web:www.sieov,ore/ehd <br /> UNDERGROUND STORAGE TAMC (US12 PROGRAM INSPECTION REPORT <br /> FadBty name: Designated Operator: Inspection Date: <br /> Facility address: UST A. <br /> _ �/�� 1 tel' ' �� ' ,• <br /> 71 <br /> Product <br /> Faeilit Contact:' 6ir— InaJ Title: Phone: <br /> Monitodng Panel: Pi ing Sys Overfill prevention: <br /> L�3 Pressurized fJ suction ❑Gravis cehanical DAvdible)viatutl <br /> Inspection type: Violations: <br /> outinc 1nitorin Cenification ❑Installation ❑Other: ❑M 1-RDctect 6 M2-RPrcv [I M-3 Both <br /> VIOLATION(S) FISC=Califomia Hca)fh&Safcty Code:CCR=Califomia Code of Regulations V R <br /> p Code Section V <br /> V=Violation; RV=Rc • t Violation <br /> I HSC 25284 Permit too ttatc <br /> 2 •CCR2637 Secondarvconta.inmcnttest performed <br /> 3 CCR 2711 6 & c Current Unificd Pro rant Consolidated Forms on file with 13HD Facilit and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 ''CCR 2632 b Monitoring Pro tam Monitorin &Response Plan)is current and approved by the low)agency. <br /> 6 CCR 2712 i Monitoring Ian is onsite- <br /> 7 CCR 2712 b Maintenance&monitoringrecords (Ml) <br /> 8 CCR-9 3(d) Daily monitoring of suction piping(pre-Jumniry. I, 1984) <br /> 9 HSC 25292.1 UST system isoperated to Prevent unauthorized rclwsc <br /> 10 CCR 2632(c)(2) UST monitorin system is present (M1) <br /> I I CCR 2630 d) UST system monitoring equipment i5 properly located to detect a leak Ml.) <br /> 12 HSC 25291 b) UST s .tcm mon itoring equipment iso emtinnal M2) <br /> 13 CCk 2636(f)(1) Continuous monitorings stem For under round piping&UDC is prescm M1) <br /> 14 CCR 2631 a Primary containment is product tight <br /> 15 HSC 25291 (a)(2)) Secondary containment For UST is tight <br /> IG CCR 2636(c)(1) All releases insacondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detector(s)urc installed (Ml) <br /> 18 CCR 2635(b)(1) S ilIcontainer (M2) <br /> 19 CCR 2635(b)(2) Overfill reventions stem M2 <br /> 20 CCR 2636(a) Conventional suction piping.sha.l I haw continuous monitoring&2e containen <br /> mt <br /> 2l HSC 25291 (e) Water in 2'containment analyzed&Emperly Jia..oscd of <br /> 22 CCR2650 Recording re or In <br /> ng of unauthorized releases M( <br /> 23 CCR 2715 Desi mated O erect a Suttcmcntom owner c-e)Month ins ecnow(t)Fin Inyee training <br /> 24 CCR 2638 a) Annual monitoring certification <br /> 25 1 CCR 2638 a) Annual line leak dctcctor test Ml <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test M 1) <br /> 28 CCR 2661 Repair for tank/piping has had lightness test (M2) <br /> 29 CCR 2643 e) Biennial tightness test of gravity pipingre-January I. 19114) <br /> 30 CCR 2643 d) Triennial line telt for conventional suction piping( re-Janus I. 1984) (M1) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR2661 Permit to n. air UST s .tcm <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 b) Permit to temporarily clean UST system <br /> 35 HSC 25298 c Permit to Clow USTs stem <br /> 36 HSC 25299 a)(9) Disablin leak detection devices•' <br /> 37 1 HSC 25298 a) I Illegal abandonment of UST system <br /> 38 1 O <br /> EHD IN, PE OR Pilo UIC <br /> / Scntic svctcm, <br /> c' 1LZZFTcs>10 pcopWday <br /> RECEWt BY: // TITLE,': "'Ruccives other than sanitary waste <br /> Othrviispnsal mahnds: <br /> Dry wellsiFmn11 fMins <br /> EHD 23.02.002 REV 05107 <br /> C00f(7j a00dvSV9d02IH.Lv1 OL99OCZ60Z IVA CS:ST L00Z/8T/ZT <br />