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oPq•UIN C\ <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR t wIENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �q<ific�u��i <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facilitv name: Designated Operator: Inspection Date: <br /> BVI PM � �� 71 a7 <br /> Facility address: UST# <br /> azU <br /> Product <br /> Facility Contact: Title: Phone: <br /> �Monitoring Panel: Piping system: Overfill prevention: <br /> W —3'�b 4flessurized ❑Suction ❑Gravity ❑Mechanical [eAudible/visual <br /> Inspection type: Violations: <br /> Uoutine CS1//onitoring Certification ❑Installation ❑Other: ❑M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code SectionV <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) Monitoring&response plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records (M1) <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 monitoringsystem is resent M1) <br /> 1 I CCR 2630(d) UST system monitoring equipment is properly located to detect a leak (M1) <br /> 12 HSC 25291 (b) UST system monitoring equipment isoperational M2 <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present (M1) <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 0 Line leak detector(s)are installed (MI) <br /> 18 CCR 2635(b)(1) Spill container (MZ <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) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 P ecording/reporting of unauthorized releases (M1) <br /> 23 CCR 2715 Designated Operator: (a)Statement from UST owner; (c-e)Monthly inspection;(f)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(fl(4) Annual line tightness test <br /> (MI) <br /> 28 CCR 2661 (0 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( re-Januar 1, 1984) M1) <br /> 31 HSC 25292.5 Double wall system 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 HSC 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 1 Other: <br /> EHD INSPECTfaR: PHONE UIC <br /> Septic <br /> `Y 1 Serves>_20 people/day <br /> RECEIVED TI 11 Receives other than sanitary waste <br /> Other disposal methods: <br /> D we. <br /> Drains <br /> EHD 23-02 <br /> 1/3/07 <br />