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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Is <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.srqov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> I neted Oe jn Inspection <br /> Facility name: 1' D'1� rI 4�� �r• D tt'I <br /> Qe o(zon SiarV <br /> ui G S <br /> Vol # . 2 <br /> Facility ad Bell: /- <br /> 3550 �• <br /> Facility Contac �'roduct <br /> Title: PhoContact: ^� <br /> I!z i gsr,�.l C ' <br /> Overfill prevention: <br /> Monitors g Pair is q Piping system: <br /> .� ,j V ❑Gravit Mechanical ❑Audible/visual <br /> Pressurized ❑Suction Violations: <br /> Inspection type: 0 Mt-RDetect 0 M2-RPrev 0 M-3 Both <br /> outine Monitorin Certification ❑Installation ❑Other: V R <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V <br /> # Code Section V=Violation; RV=Re eat Violation <br /> 1 HSC 25284 Permit too erate <br /> 2 CCR 2637 Seconda containment test erformed <br /> 3 CCR 2711 b & c Current Unified Pro ram Consolidated Forms on file with EHD St <br /> Certification <br /> and tank form <br /> 4 HSC 25292.2 Certification of financial res onsibilit and CFO letter <br /> 5 CCR 2632 b Monitorin Program(Monitoring&Response Plan is current and a roved b the local a enc . <br /> 6 CCR 2712 i Monitorin Ian is onsite. M1 <br /> 7 CCR 2712 b Maintenance&monitorin records <br /> 8 CCR 2643 d Dail monitorin of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST s stem is c erated to revent unauthorized release M1 <br /> 10 CCR 2632 c 2 UST monitorin s stem isresent M1 <br /> 11 CCR 2630 d UST s stem monitorin a ui ment is properly located to detect a leak M1 <br /> 12 HSC 25291 b UST s stem monitoring equipment isoperational M1 <br /> 13 CCR 2636 1 Continuous monitorin s stem for underground piping&UDC is resent <br /> 14 CCR 2631 a Prima containment is roduct tight <br /> 15 HSC 25291 a 2 Seconds I containment for UST is I iht <br /> 16 CCR 2636 c 1 All releases in seconda i in flow to a collection sum M7 <br /> 17 HSC 25291 Line leak detectors are installed M2) <br /> 18 CCR 2635 b 1 S ill container M2 <br /> 19 CCR 2635 b 2 Overfill revention system <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitorincontainment <br /> 21 HSC 25291 (e) Water in 2°containment an zed& ro erl die osed of M1 <br /> 22 CCR 2650 Recordin /re ortin of unauthorized releases <br /> 23 CCR 2715 Desi nated 0 erator: a Statement from UST owner; c-e Monthl inspection, Em to ee trainin <br /> 24 CCR 2638 a Annual monitorin certification M1 <br /> 25 CCR 2638 a Annual line leak detector test <br /> 26 HSC 25284.2 Annual s ill containment testin I M1 <br /> 27 CCR 2636 4 Annual line ti htness test (M2 <br /> 28 CCR 2661 Repair for tank/ i in has had ti htness test <br /> 29 CCR 2643 a Biennial ti htness test of caviin re-Janua 1, 1984 M7 <br /> 30 CCR 2643 d Triennial line test for conventional suction i in re-Janua 1, 1984 <br /> 31 HSC 25292.5 Double wall s stem located within 1000' Ofpublic well-ELD <br /> 32 CCR 2661 Permit to re air UST s stem <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 b Permit to tem orarily close UST System <br /> 35 HSC 25298 c DiSystem <br /> 36 HSC 25299 sabling leak detect ondevices <br /> a9 2 <br /> 37 HSC 25298 a Ille all abandonment of UST system <br /> 38 Other: PHONE: UIC <br /> HDINSPECTOR'. // Q S c s stem: <br /> D 77�� ❑ es>_20 people/day <br /> TITLE ❑Recei other than sanitary waste <br /> RECEIV D Otherdis osal hods: <br /> ❑D wellslFren rains <br /> EHO 23-02-002 REV 8/08 <br />