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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.swgov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Designate�perator: _l <br />I�PAk,u. I &1 ' <br />AL <br />Inspection <br />Date: <br />'08 <br />Facility address: <br />19. <br />rn,R <br />UST # <br />Product <br />Facility Contact:Title: Phone(cnY,) Oak, tN4 (C <br />onitoring Panel: <br />Piping sys e : <br />Pressurize ❑ Suction ❑ Gravity <br />Overfill prevention: <br />VIVIechanical ❑ Audible/visual <br />Inspection type: <br />Routine onitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />61-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 <br />HSC 25284 <br />Permit tooperate 04, <br />2 <br />CCR 2637 <br />Secondary containment test performed d <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 OIK <br />5 <br />CCR 2632 b <br />Monitoring Program(Monitoring & Response Plan is current and approved by the local a enc .p <br />6 <br />CCR 2712 i <br />Monitoring Ian is onsite. ot< <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records M1 <br />8 <br />CCR 2643 d <br />Daily monitoring of suction piping (pre -January, 1, 1984 <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 (c)(2) <br />UST monitoring system is present M1) <br />11 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak M1 <br />12 HSC 25291 b <br />UST system monitoring equipment isoperational (M1) <br />13 CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present M1 <br />14 CCR 2631 a <br />Primary containment is product tight <br />15 HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 HSC 25291 <br />Line leak detector(s) are installed (M1 <br />18 CCR 2635 (b)(1) <br />Spill container M2) <br />19 CCR 2635 (b)(2) <br />Overfill prevention system M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 20 containment <br />21 HSC 25291 (e) <br />Water in 20 containment analyzed & properly disposed of <br />22 CCR 2650 <br />Recording/reporting of unauthorized releases M1 <br />23 CCR 2715 <br />Designate O erator:a Statement from UST owner; (c -e) Monthly inspection; Employee training <br />24 1 CCR 2638 a <br />Annual monitoring certification R, -01 <br />25 CCR 2638 a <br />Annual line leak detector test o M1 <br />26 HSC 25284.2 <br />Annuals ill containment testing -0% <br />27 CCR 2636 4 <br />Annual line tightness test M1 <br />28 CCR 2661 <br />Repair for tank/piping has had tightness test (M2) <br />29 CCR 2643 a <br />Biennial tightness test of gravity pipingre-Janus 1, 1984 <br />30 CCR 2643 d <br />Triennial line test for conventional suction piping (re -Janus 1, 1984) (M1) <br />31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 CCR 2661 <br />Permit to repair UST system <br />33 HSC 25286 a <br />Permit to alter monitoring system <br />34 HSC 25298 b <br />Permit to temporarily close UST system <br />35 HSC 25298 c <br />Permit to close UST system <br />36 HSC 25299 <br />(a)(9 2 <br />Disabling leak detection devices <br />37 HSC 25298 a <br />Illegal abandonment of UST system <br />38 Other: <br />EHD INSP O <br />i <br />PH <br />UIC <br />Septic system: <br />I ' Serves _20 people/day <br />i Receives other than sanitary waste <br />Other disposal methods: <br />Dry well Drains <br />RECEIVED BY: <br />_ <br />TITLE: <br />EHD 23-02-002 REV 8/08 <br />