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SAN JOAQUIN COUNTY <br /> NVIRONMENTAL HEALTH DEPARTMENT • <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility na c: esignated Operator: Inspection Date: <br /> ejo 0a Y+4 Ke Flo <br /> Facility address: UST# , <br /> �j A v" a ✓ { -Product <br /> Faci ty Contact: M1 `9/' rtl C Phone: <br /> tVa�p2,(tt�Jr�, P� 66— <br /> onitoring Pane• Piping system: Overfill prevention: <br /> 11 Pressurized ❑Suction kGravity ❑Mechanical Audible/visual <br /> Inspection type: Violations: <br /> Routine Monitoring Certification ❑installation ❑Other: ❑MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATIONS HSC=Califomia Health&Safer Code;CCR=California Code of Regulations V R <br /> # Code Section VIOLATION(S) Y gu <br /> V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit to operate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 6 & 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 Monitorin Pro Monitoring&Response Plan is current and approved by the local a enc . <br /> 6 CCR 2712 i Monitoring plan is onsite. <br /> 7 CCR 2712 b Maintenance&monitoring records Ml <br /> 8 CCR 2643 d Daily monitoring of suction piping(pre-January, I, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (Ml) <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak (Ml) <br /> 12 HSC 25291 UST system monitoring equipment is operational M2) <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631 a Primary containment is producttight <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 sum <br /> 17 HSC 25291 Line leak detector(s)are installed (MI) <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 piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting Recording/reportingof unauthorized releases Ml <br /> 23 CCR 2715 Designated Operator a)Statement from UST owner; (c-e)Month!y inspection;(f)Employes:training <br /> 24 CCR 2638 a Annual monitorin g 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 (MI) <br /> 28 CCR 2661 f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d) Triennial line test for conventional suction piping(pre-January1, 1984) (Ml) <br /> 31 HSC 25292.5 Double walls 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 monitoring system <br /> 34 HSC 25298 b) Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST s stem <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a) I Illegal abandonment of UST system <br /> 38 1 Other: <br /> EHD INSP OR: P ONE: UIC <br /> 2�r L169 cl :Othff <br /> ies st v <br /> -Serves>_ eopleJday <br /> RECEIVED BY TITLE: F Receives oth than sanitary waste <br /> ©� dis sal meth <br /> Dry wells/Frmch ins <br /> EHD 23-02-002 REV 05/07 <br />