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Pau 1 A/ i <br /> �o caG • SAN JOAQUIN COUNTY <br /> N / ,NVIRONMENTAL HEALTH DEPARTMENT <br /> jig (pw , a 1 Stockton, CA 95202-2708 <br /> s `P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Opera or: Ins ection Date: <br /> ZAN <br /> S C�A-S611 zb <br /> Facility address: UST# S 6 <br /> r '- r <br /> J Vv rr G <br /> 1 � � ' Product <br /> Facility Contact: Title: Phone: <br /> S A N B ' 2LA WZll� 87(4- <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> T to L :IyPressurized [I Suction [I Gravity ech.nical ❑Audible/visual <br /> Inspection type: Violations: <br /> outine )(Monitoring Certification ❑Installation ❑Other: 1-RDetect ElM2-RPrev 11M-3 Both <br /> VIOLATIONVS) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section <br /> V=Violation;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(c)(2)(D) Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712 i Monitorin &response plan is onsite <br /> 7 CCR 2712 Maintenance&monitoring records Ml <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 Ml <br /> 11 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak Ml <br /> 12 'HSC 25291 UST system monitoring equipment isoperational M2 <br /> 13 ICCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present Ml <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 detector(s)are installed Ml <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&2°containment <br /> 21 HSC 25291 (e) t 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 'Recordiny)reporting of unauthorized releases Ml <br /> 23 CCR 2715 M-'s ated Operator:(a)Statement from UST owner; (c-e)Monthly inspection;(0 Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (Ml) <br /> 28 CCR 2661 Repair for tank/piping has had tightness test M2 <br /> 29 CCR 2643(e) Biennial tightness test of gravity piping( re-Januar 1, 1984) <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1, 1984) Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 ESC 25298(b) Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONE: UIC <br /> I ',6/� of Q'4 Q Se tic tem: <br /> x-11/ a �l v-( V ❑Sery 20 people/day <br /> RE EIVED BY TITLE• ❑Receives r than sanitary waste <br /> Otmetho <br /> her disposal /Free <br /> ❑Dry wells/French Drat <br /> EHD 23-02 <br /> 1/3/07 <br />