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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,California <br /> Telephone.(209)468-3420 Fax:(209)468-3433 Web:W".sioov.oro/ehd -- — <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facilityname: <br /> ��ptjjp� 1 ' Designated Operator: Inspection <br /> W, ^ Ui tVl09B IQIt Date: <br /> Facility address: UST# <br /> Product ' ' <br /> Faollit)r Contact: Title: Phone: <br /> MP I ny ritirn Overfill <br /> prevention: <br /> Pressurized 0 Suction ❑cravity 0 Mechanical AufNUelvisual <br /> Indpection type: Violations: <br /> Routine VAonitorri Certlflcation 0 Installation ❑QVw 0 M1-RDetect 0 M2-RPfev 0 M-3 Both <br /> # Code Section VIOLATION(S) HSC=CaIHomla Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V-Violation;RV=Repeat Violation V <br /> 1 HSC 25284 Permit to operate <br /> 2 CCR 2837 --§econdary containment test perfoffned <br /> 3 CCR 2711 & c Current Unified Program Consolidated Forma 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 Monitoring Program(Monitoring&Response Plan Is current and approved the local agency. <br /> 6 OCR 2712 Monitoring n is onsite. <br /> 7 CCR 2712 Maintenance&monitoring records M1 <br /> 6 CCR 2643 0 Daily monitoring of suction piping(pro-January,1 1984 <br /> 9 HSC 25292.1 UST system is operated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is nt M7 <br /> 11 CCR 2830 d UST system monitoring equipment Is properly located to detect 2 leak M1 <br /> 12 HSC 25291 b UST system monitoring equipment isoperational Mi <br /> 13 CCR 2638 1 Continuous monitoring system for underground piping&UDC is resent M1 <br /> 14 CCR 2637 a Primary containment is pmduct light <br /> 15 HSC 25291 (a)(2) Secondary containment for UST Is Wht <br /> 16 CCR 2636(cX1) All releases in seoondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detectors am installed Mt <br /> 18 CCR 2635 b"' <br /> 1 S !II container M2 <br /> 19 CCR 2835 6 2 Ovell reventbn s tem 11012 <br /> 20 CCR 2636 a Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 e) Water in 2°containment analyzed 8 properly disposed of <br /> 22 CCR 2650 Rec*rding/reporting of unauthorized releases M1 <br /> emenRfwa+-LSTawaer=,- tnilriina <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annualline leak detector test M1) <br /> 26 1 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2638 4 Annual line tiontnew test M7 <br /> 28 CCR 2661 Re it for tank/piping has had tightness test M2 <br /> 29 CCR 2043 a Biennial tightness test of gravity pipinare-Janus 1 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction pipi reJanua 1, 1984 M1 <br /> 31 HSC 25292.5 Double walls stem b=ated within 1000'of public well-ELD <br /> 32 CCR 2861 Permit to repair UST system <br /> 33 HSC 25286 a Permit to atter 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 Disabling leak detection devices <br /> e 9 2 <br /> 37 1HSC 25298 a III al abandonment of UST stem <br /> 38 OMer. ' .� Il'U Pt On> UTZ <br /> r PE�TOR� - Ota <br /> l f �*e C 9edic system: <br /> RE 0 Serves xY0 paople/da <br /> Y <br /> TIT ❑ReceNes Wier than watery rNslr <br /> �� Other dlsoosal memodt <br /> ❑ welslFrenrh D,fYM <br /> EHD 23-0REV e108 UST MSPECY10N FK& <br />