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SAN JOAQUIN COUNTY r <br />JVIRONMENTAL HEALTH DEPARTMENT r1 �' / expi <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 jW&PA it et P_, <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehdQ,,,.,t, �e <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />[6jz3rpL <br />h0l2k <br />1a1do-z <br />,z1z%j'06 <br />Facility name: <br />2r0 �� Lam S 12U I ,r S�.Ai-`in+.� <br />es! atedDperatQr_ <br />--(l��d e>f92 <br />Date: <br />InspectionIbc <br />°I3I <br />Facility address: <br />()C) S, G% e,4o6�- CYJ I L b o <br />UST # <br />- Product <br />Facility Contact: Title: Phone: <br />" <br />Mo itoring - Panel: <br />t,Pressurized <br />Piping system: <br />❑ Suction ❑ Gravit <br />Overfll prevention: <br />echanical ❑ Audible/visual <br />Inspection type: <br />)(Routine onitoring Certification a histallation ❑ Other: <br />Violations: <br />I-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATIONS) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b & c) <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />(Ml) <br />8 <br />CCR 2643 d <br />Daily monitoring of suction piping (pre -January, 1, 1984 <br />9 <br />1 HSC 25292.1 <br />UST system is operated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is present <br />(MI) <br />11 <br />CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />(Ml) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equipment isoperational <br />M2) <br />13 <br />CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present <br />(MI) <br />14 <br />CCR 2631 a <br />Primary containment is product tight <br />15 <br />1 HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 <br />HSC 25291 (D <br />Line leak detector(s) are installed <br />M1 <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2 <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />M2 <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 <br />1 HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recordin re ortin uthorized releases <br />M1 <br />23 <br />CCR 2715 <br />Designated O erator (a tatement from UST owner; c -e onthly inspection; f) Employee training <br />24 <br />CCR 2638 a' <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />Ml <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 (4) <br />Annual line tightness test <br />MI <br />28 <br />CCR 2661 f) <br />Repair for tank/piping has had tightness test <br />M2 <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity piping(pre-January 1, 1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (re -Jan 1, 1984) <br />(Ml <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 c <br />Permit to close UST system <br />-36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 a <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD NSPECTOR: <br />Lr1 �6� �//�� <br />( V / 6 <br />PHONE: <br />�� g._, Q Q <br />v (J <br />UIC <br />Septic system: <br />- Serves >_20 people/day <br />❑ Receives other than sanitary waste <br />Other disposal methods: <br />E Dry wells/French Drains <br />RECEIVED BY: <br />� / <br />��n/ <br />TITLE: <br />FHT) 21-02-002 <br />