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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.orq/ehd UNDERGROUMD QT®RAGE TANK UST PROs'%— A" INSPECTION REPORT 5 l7 EHD 23-02-002 REV 8/08 UST INSPECTION FINAL "'UT -5ame: Desi nated �peraIt �Date: Inspectiqp. ddress: UST #'-' Product .'� I a• Facility Contact: Title: Phone: f—t'X J[ rLJ' 91" 12a'Itkow-1 ftm '224 3129 d<& Gj Monitoring Panel: -� ( Piping system: Pressurized ❑ Suction ❑ Gravity Ovetfjll prcti ration: ech r�ical ❑ Audible/visual Inspection type: A1, Routine Monitoring Certification ❑ Installation ❑ Other: Violations: ❑ M1-RDetect ❑ M2-RPrev M-3 Both # Code Section VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R V=Violation; RV=Re eat Violation V 1 HSC 25284 Permit tooperate 2 CCR 2637 Secondarycontainment test performed 11-15-U6 3 CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD (Facilityand tank form 4 HSC 25292.2 Certification of financial responsibility and CFO letter 5 CCR 2632 b MonitoringProgram (Monitoring& Response Plan is current and approved b the local agency. 6 CCR 2712 i MonitoringIan is onsite. 7 CCR 2712 b Maintenance & monitoringrecords (M1) 8 CCR 2643 d Dail monitoringof suction piping (pre -January, 1, 1984 9 HSC 25292.1 UST system isoperated to prevent unauthorized release 10 CCR 2632 (c)(2) UST monitoring system is present (M1) 11 CCR 2630 d UST system monitoringequipment is proper) located to detect a leak (M1) 12 HSC 25291 b • UST system monitoring equipment is operational (M1) 13 CCR 2636 1 Continuous monitorings stem for underground piping & UDC is present (M1) 14 CCR 2631 a . Prima containment is product tight 15 HSC 25291 (a)(2) Secondarycontainment for UST is tight 16 CCR 2636 (c)(1) All releases in seconds piping flow to a collection sum 17 HSC 25291 Line leak detector(s) are installed (M1) 18 CCR 2635 (b)(1) Spill container (M2) 19 CCR 2635 (b)(2) Overfill prevention system (M2) 20 CCR 2636 (a) Conventional suction piping shall have continuous monitoring& 21 containment 21 HSC 25291 (e) • Water in 20 containment analyzed & properly disposed of 22 CCR 2650 . Recording/reporting of unauthorized releases (M1) 23 CCR 2715 Designate Operator: a Statement from UST owner; c -e Month) inspection;((-f)m loyee trainin 24 CCR 2638 a Annual monitoringcertification 25 CCR 2638 a Annual line leak detector test 26 HSC 25284.2 Annuals ill containment testing 27 CCR 2636 4 Annual line tightness test (M1) 28 CCR 2661 Repair for tank/piping has had tightness test (M2) 29 CCR 2643 e) Biennial tightness test of gravitypiping (pre-January1, 1984 30 CCR 2643 d Triennial line test for conventional suction piping (pre -January 1, 1984) (M1) 31 HSC 25292.5 Double walls stem located within 1000' of public well-ELD 32 CCR 2661 Permit to repair UST system 33 HSC 25286 (a Permit to alter monitoringsystem 34 HSC 25298 b Permit to temporarily close UST system 35 HSC 25298 c Permit to close UST system 36 HSC 25299 a 9 (f)(2 Disabling leak detection devices 37 HSC 25298 a Illegal abandonment of UST system 38 Other: EHD INSPECTOR: PHONE: _ �, ' ' b UIC Septic system: ❑ Serves 220 people/day ❑ Receives other than sanitary waste Other disposal methods: ❑ Dry wells/French Drains RECEIVED BY: n_ ri TITLE: /� 1 �/ L �`/ EHD 23-02-002 REV 8/08 UST INSPECTION FINAL