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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.s*.qov.orq/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> FR <br /> name: Designated Operator: Inspection <br /> IM 1 D1-11-61 <br /> te: <br /> +CI ce �P,�►fi�✓ t � "�1 �� <br /> Facility address: I UST <br /> I I i qii <br /> "'Producty) <br /> Facility Contact: Title: Phone: <br /> Monj�oring Panel: Piping system: Overfill prevention: <br /> 2OPressurized ❑SuctioO ❑Gravity ❑Mechanical Audible/visual <br /> Inspection type: Violations: <br /> 11'Routine %2Monitoring Certification ❑Installation ❑Other: N/11-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code; CCR=California Code of Regulations V R <br /> # Code Section <br /> V=Violation; RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed _ A die <br /> 3 CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHDI(Facility and to form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter , ` t 9 `1i 1 <br /> 5 • CCR 2632 b Monitoring Program (Monitoring& Response Plan is curren d approved by the local agency. i14 <br /> 6 CCR 2712 i Monitoring Ian is onsite.otz- <br /> 7 CCR 2712 b Maintenance&monitoring records L M1 <br /> 8 CCR 2643 d Daily monitoring of suction piping (pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632 (c)(2) UST monitoring system is present M1) <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak M1 <br /> 12 HSC 25291 b UST system monitoring equipment isoperational 87 Uw2 19-2tw M1) <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping& UDC is present M1 <br /> 14 CCR 2631 a Primary containment is product tight <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 detectors are installed M1 <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 1 CCR 2650 Recording/reporting of unauthorized releases M1 <br /> 23 • CCR 2715 Designated Operator: a Statement from UST owner; c-e Monthly ins ection; rmployee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annual line leak detector testis 9- -OR <br /> M1 <br /> 26 HSC 25284.2 Annuals ill containment testing, <br /> 27 CCR 2636 4 Annual line tightness test M1 <br /> t.8 CCR 2661 Repair for tank/piping has had tightness test (M2 <br /> 9 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 0 CCR 2643 d Triennial line test for conventional suction piping( re-Janus 1, 1984) (M1) <br /> 1 HSC 25292.5 Double walls stem located within 1000' of public well-ELD <br /> CCR 2661 Permit to repair UST system <br /> HSC 25286 a Permit to alter monitoring system <br /> HSC 25298 b Permit to temporarily close UST system <br /> HSC 25298 c Permit to close UST system <br /> HSC 25299 Disabling leak detection devices <br /> a 9 2 <br /> HSC 25298 a Illegal abandonment of UST system <br /> Other: <br /> NSPECT0 PHON(: UI4C <br /> 0(� Septic system: <br /> b� Serves>_20 people/day <br /> VE Y: TITLE: Receives other than sanitary waste <br /> Other disposal methods: <br /> �� ` L_ I ­T-_.' y :1 !�.cP Dry wells/French Drains <br /> 102 18/08 <br />