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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 ast aln r@et,STo�cic.on; alifornlaM'M--"3-OYW <br /> Telephone:(209) 468-3420 Fax; (209)468-343.3 Web:WvVW.'s,jgdy.orn/ehd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: . Inspection <br /> Date: <br /> Facility address: UST# . <br /> Facility Contact: Title: Phone: <br /> M itoring Panel: Piping system: Overfill prevention: <br /> k a —r-2 � kllressufted ❑Suction ❑GravItj D Mechanical ,Audible/visual 'S-Z�@ 66— <br /> In pection type; Vlotatfons: <br /> '0out1ne /8onitorin Certification ❑Installation. ❑Other: 1-RDet®Ct ❑M2-RPrev 'IgM-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code; CCR=California Code of,Regulations V R <br /> # Code Section V <br /> V=Vlolation' RV=Re eat Violation <br /> 1 HSC 25284 Permit tooperate <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 form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b Monitorin Program(Monitoring& Response Plan is current and a roved by the local a en . <br /> 6 CCR 2712 1 Monitoring Ian is onsite. <br /> 7 CCR 2712 b Maintenance& monitorin records M1 <br /> a CCR 2643 d Daily monitoring of suction piping (pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system is operated to prevent unauthorized release ` <br /> 10 CGR 2632(c)(2) UST monitoring system is present M1) <br /> 11 CCR 2630 d UST s stem monitoring equipment is Rroperly1ocated to detect a leak M1 <br /> 12 1 HSC 25291 b UST system monitoring equipment iso erationalM1 <br /> 13 CCR 2636 1 Continuous monitoringsystem for unde round piping &UDC Is resent Mh1 <br /> 14 GCR 2631,(a) PrimaDj containment is product fight <br /> 15 NSC 25291 (a)(2) Seconds 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)Q) Spill container M2 x <br /> 19 CCR 2635(b)(2) Overfill preventJon system M2 <br /> 20 CCR 2636 (a) Conventional suction piping shall have.cdntinuous monitoring&20 containment <br /> 21 MSC 25291 (e) Water in 20 containment anal ed& properly disposed of <br /> 22 CCR 2650 Record in re ortin of unauthorized releAses M1 <br /> 23 rCCR 2715 Designated Operator: a Statement from UST owner; (c-e)Monthly inspection; Employee training <br /> 24 ' CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annual line leak detector test M1 <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test M1 <br /> 28 CCR-2661 Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 a Blenniai tightness test of gravity pipingre-January1 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping (pre-Janua 1, 1984) (M1) <br /> 31 HSC 25292.5 Double walls stem located within 1000' of public well-ELD <br /> 32 CCR 2661 Permit to repair UST s stem. <br /> -33 HSC 25286 a Permit to alter monitoring system i <br /> 34 HSC 25298 b Permit to temporarilly temporarilyclose 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 1 HSC 25298 a Illegal abandonment of UST system <br /> 38 1 Other: \. <br /> HD INSP OR- PHONE: y, UIC <br /> Se0S tsystem; <br /> 0 Serves ago people/day <br /> RE PJ(T p , 1 TIYLE: ❑Receives other than sanitary waste <br /> f� , Other disposal methods' <br /> er 0 Dry wells/French Drains <br /> EMD 23-02-002 REV Bl08 <br /> u0 a 80I09SHOZ I A M 'HSI SS01 X00 000H Wd 8O :Z0 ISOT/600Z/ZO/ddYl1 <br />