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Ni" <br /> 1� g SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Te <br /> e:(209)468-3420 Fax.-(209)468-3433 Web:www.sigoy.org/elid <br /> UNDERGROUND STORAGE TANK, UST) PROGRAM INSPECTION REPORT <br /> Facilityname: Designated Operator: Inspection Date: <br /> 7j 7 <br /> Facili aaddress- UST# <br /> -Z- I - <br /> 'T <br /> i -, <br /> 4�t Produk <br /> Fafuty C mact Title: Phone- <br /> .IZ4-7 <br /> M:=iTrI;- <br /> ,j,� Piping system: p 0 rfill prevention: <br /> C 5V 0 Pressurized V%luction 0 Gravity nechanical 0 Audible/visual <br /> "b- <br /> lx�spectiion typ Violations: <br /> Kkoutine -eMonitoring Certification 11 Installation El Other: 11 M I-RDetect El M2-RPrcv El M,3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation;RV=RSpeat Violation <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test 2erfon-ned <br /> 3 CCR 2711 (b)&(c) Current Unified Pro ram Consolidated Forms on file with EHD(Facility and tannn <br /> 4 HSC 25292.2 Certification of financial res2onsibility and CFO letter <br /> 5 CCR 2632(b) Monitoring Pro gram(Monitoring&�sonse Plan)is current and a22roved by the local Mency. <br /> 6 CCR 2712(i) Monitoring plan is onsite. <br /> 7 CCR 2712(b) Maintenance&monitorinrecords jMI) 1 1 <br /> 8 CCR 2643(d) Daily monitorina of suction piping(pre-January, I, 1984) <br /> 9 HSC 25292.1 UST system isoperated to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present Ml) <br /> I I CCR 2630(d) UST system monitorinequiRment is 2r2perly located to detect a leak (MI) <br /> 12 HSC 25291 (b) UST system monitorin&Eguipment iso2erational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitorinE system for under round 2iPing&UDC is resent (M 1) <br /> 14 CCR 2631 (a) Primary containment is 2roduct ti ht <br /> 15 HSC 25291 (a)2Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary pi2inE flow to a collection sum2 <br /> 17 HSC 25291 (f) Line leak detector(s)are installed M)" <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill preven ion system (M2) <br /> 20 CCR 2636(a) Conventional suction piRing shall have continuous monitoring&2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&pronerly disRosed of <br /> 22 CCR 2650 Rccordinreporting of unauthorized releases (M 1) <br /> 23 CCR N 15 Designated 02erator: (a)Statement ffi UST owner; (c-e)N 1;(t)Employee trainingg(- <br /> 24 CCR 2638 a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (M 1) <br /> 26 HSC 25284.2 Annual s2ill containment testing <br /> 27 CCR 2636 4) Annual line tightness test M1 <br /> 28 CCR 2661 (f) Repair for tank/pi2ing has had tiEhtness test W) <br /> 29 CCR 2643(e) Biennial tightness test of gravity 2iping(pre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction Pi in re-January 1, 1984 M 1) <br /> 31 HSC 25292.5 Double wall system located within 1000'of 2ublic well-ELD <br /> 32 CCR 2661 Pen-nit to re air UST system <br /> 33 HSC 25286(aPen-nit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temgorarily 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) Illeaal abandonment of UST system <br /> 38, Other: <br /> EHD INSPECTOR- t PHONE: UIC <br /> L Septic system: <br /> '07 <br /> Serves a20 people/day <br /> RECEIVED BY: <br /> TITLE: 7 Receives other than sanitary waste] <br /> 'el Other disposJ methods: <br /> 7" J wells/French Trains <br /> EHD 23-02-002 REV 05/07 <br />