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`r/ SAN JOAQUIN COUNTY � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax. (209)468-3433 Web:www.si?ov.orgZehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: ak5writy6D en'4"ttv inspection Date: <br /> M.0 dor G -ZS - <br /> Facility address: UST# <br /> ro <br /> ProduEt' <br /> Facility Contact: L Title: Phone: jQ <br /> Monitoring Pel: Piping system: Overfill prevention: <br /> NPiU�> etf I�M1Sry(J�0Pressurized 11 suction ❑Gravity11Mechanical WAudihle/visual <br /> Inspection type: Violations. <br /> Routine ❑Monitoring Certification ❑installation ❑Other: I M l-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code;CCK=Califomia Code of Regulations V R <br /> N Code Section V <br /> V=Violation; RV—R eat Violation <br /> l HSC 25284 Permit too crate <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 fonnl <br /> L94 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b) MonitoringProgram(Monitoring&Response Plan)is current and a roved b the local agency. <br /> 6 CCR 2712 i) MonitoringIan is onsite. ✓ <br /> 7 CCR 2712 b Maintenance&monitoringrecords (M 1) <br /> 8 CCR 2643 d Dail monitoringof suction piping(pre-January, 1, 1984) <br /> HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> IO CCR 2632(c)(2) UST monitoring system is present (M1) <br /> I 1 CCR 2630 d UST system monitoring equipment is property located to detect a leak Ml) <br /> 12 HSC 25291 b UST system monitoring equip ment isoperational (M 2) <br /> 13 CCR 2636 t 1) Continuous monitoring system for underground piping& UDC is resent MI) <br /> 14 CCR 2631 a) Primary containment is product tight <br /> S 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 t Line leak detector(s) are installed (M l) <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&2°containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&property disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases (M 1) <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; 4n Monthly inspection, (t) Employee training <br /> 24 CCR 2638 a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (M I) <br /> 26 HSC 25284.2 Annuals ill containment testis <br /> 27 CCR 2636(f)(4) Annual line tightness test Ml} <br /> 28 CCR 2661 t Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d) Triennial line test for conventional suction piping(pre-January I, 1984) M1} <br /> 31 HSC 25292.5 Double walls stem located within 1000'of 2ublic 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 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 /> EHD iNSP PHONE: � UIC <br /> c7T -Serves>_20 people/day <br /> RECEIVED BY: TITLE: Receives other than sanitary waste <br /> T . Othcr dis o�l methods: <br /> 1�, ��". f S Chv welk/French Drains <br /> EHD 23-02-002 REV 05/07 <br />