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r 0 SAN JOAQUIN COUNTY 0 ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd/unitiii.html UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Facility name: Inspection date: Facility address: UST#/ 17 Vt/ ! (✓41Qi1' 41-/t. Pam I s� '� `N` Product / '� Facility contact;: Title: Phone: 17 z5ti W, Ab(A vel is r �566� (ob Monitoring panel: Piping system: Overfill prevention: Violations: �Y VP— Pressurized D Suction D Gravity echanical dM1-ROetect D M2-RPrev D M-3 Both y P. V✓� - Dwc D Audible/visual !!! Inspection type: Designated operator: ICC exp.date: G ,^q � ?RoutineJG'Monitoring Certification ❑ Installation ❑Other: h ,Y�I .�/t 0-, a'I On site Service Technician's name: ICC exp.date: Manufacturer's training: trio i rel 1hi k I '(Il VV, 1 010 - # Cod Section VIOLATIONS HSC=CA Health&Safe Code; CCR=CA Code 4flRegulations;V=Violation;RV=Re eat Violation V V 1 HSC 2 284 No permit tooperate Secondary containment:(a)test not performed; (e)test report not submitted within 30 days;(f)test 2 CCR 2 37 notification not provided to the Environmental Health Department(EHD)at least 48 hours prior to conductin the test 3 CCR 2 11 b & c Current Unified Program Consolidated Forms not on file with the Eilit and tank form 4 HSC 25292.2 Current financial responsibility documents not on file with the EHDHDFacog 5 CCR 2832 b Monitoring Program(Monitoring& Response Plans is not current or approved by the EHD 6 CCR 2 12 i Monitoring and/or response plan is not onsite Maintenance&monitoring records not maintained 3 years, cathodic protection records for 6 Y: (MI) years,written performance claims pertaining to release detection systems for 5 years,or records of repairs, linings,and upgrades for the life of the tank. Monitoring records include: (1)date and time of 7 CCR 2Fall monitoring or sampling; (2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4)results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring equipment,ground water elevations,or other test results; (6) results of inventory readings and reconciliations 8 CCR t232 d Dail monitorin of suction piping re-Janus 1, 1984 not performed MI 9 HSC 2.1 UST system is not operated to prevent unauthorized release,includingspills and overfills 10 CCR c 2 Monitorin s stem is not resent in the interstitials ace of a double walled UST/ i in MI) 11 CCR d UST monitoring equipment is not installed or maintained to detect a leak at the earliest o ortunit M1 12 HSC 2�291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (MI) containment 13 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (Mi) an audible and visual alarm or stops flow of product at the dis enserwhen it detects a leak 14 CCR 2631 a Primary containment is not product tight 15 HSC 25291(a)(2) Secondary containment for UST system is not tight 16 CCR 2636(c)(1) All releases in secondary piping do not flow to a collection sum 17 CCR 2636(f)(2) Line leak detectors not installed or failed to detect a 3-gallon per hour leak at 10 psi (MI) 18 CCR 2635(b)(1) Spill container not installed,failed to contain a minimum capacity of five gallons,or failed to (M2) provide a means to keep the spill container empty 19 CCR 2635(b)(2) Overfill prevention system was overridden or failed to meet overfill requirements in this section Mz 20 CCR 2636(a) Failed to have secondary containment for piping (includes conventional suction piping) (Mz) 21 HSC 21291(e) Water in 20 containment not removed, analyzed&properly disposed of Unauthorized release that: (c)did not escape secondary containment and cleaned up within eight (M1) 22 CCR 25O hours was not recorded; (e)escaped secondary containment, not cleaned up after eight hours, or a sudden loss of product was not re orted to the EHD within 24 hours 23a CCR 2715 a Failed to inform the EHD of a chap a of desi ateoperator within 30 days 23b CCR 2715(b) Designated operator did not possess a curren ICC UST System Operator certification P ►I EHD ins p r: ived by: EHD 23- 2-002 REt 04/0 D Page 1 UST OFFICIAL INSPECTION REPORT