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SAN JOAQUIN COUNTY <br />1VIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 9520208 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />C but -)4 C tui FOOD 4 FUe)L-16i <br />Designated Operator: <br />Inecti n Date: <br />Facility address: ,q <br />O �o ct/ Ulm <br />/� <br />V t Vti el L/3, S� <br />UST # <br />P <br />Product <br />Ll <br />' <br />S , <br />Facility Contact: <br />Title: Phone: <br />, <br />Monitoring Panel: <br />Piping system: <br />ressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />Mechanical ❑ Audible/visual <br />Inspection type: <br />Routine onitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ Ml-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 `, <br />1 HSC 25284 <br />Permit tooperate <br />2 CCR 2637 <br />Secondary containment test performed <br />3 CCR 2711 b) & c <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br />4 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 (c)(2)(D) <br />Monitoring & response plan is current and filed with the local agency <br />6 1 CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 CCR 2712 (b) <br />Maintenance & monitoring records <br />(MI) <br />8 CCR 2643 (d) <br />Daily monitoring of suction piping (re -January, 1, 1984) <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632' (c)(2) <br />UST monitoring system is present <br />(MI) <br />11 CCR 2630 (d) <br />UST system monitoring equipment is properly located to detect a leak <br />M1) <br />12 HSC 25291 <br />UST s stern monitoring equipment isoperational <br />M2 <br />13 CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present <br />Ml <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 <br />Ml <br />18 CCR 2635 (b)(1) <br />Spill container <br />M2 <br />19 CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2 <br />20 CCR 2636 (a) <br />Conventional suction piping ''shall have continuous monitoring & 2° containment <br />21 HSC 25291 (e) <br />Water in 21 containment analyzed & properly disposed of <br />22 CCR 2650 <br />Recording/reporting` of unauthorizedreleases <br />Mi <br />23 CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly ins ectio , (f) m loyee training <br />24 CCR 2638 a) <br />Annual monitoring certification <br />25 CCR 2638 (a) <br />Annual line leak detector test <br />(Ml) <br />26 HSC 25284.2 <br />Annuals ill containment testing <br />27 CCR 2636 (f)(4) <br />Annual line tightness test <br />(Ml) <br />28 CCR 2661 (f) <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 CCR 2643 (e) <br />Biennial tightness test of gravity piping(re-Janus 1, 1984) <br />30 CCR 2643 d <br />Triennial linetestfor conventional suction piping (pre -January 1, 1984) <br />(Mi) <br />31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 CCR 2661 <br />Petrnit 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 a)(9) <br />Disabling leak detection devices <br />37 HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 Other: <br />END INSCTOR: <br />G�/"� <br />PHONE:tf <br />C2d�L16 9 _ ! I U <br />TITLE: <br />A'%�j j� <br />V / , \ <br />UIC <br />Septic system: <br />Se ese lday <br />❑ Rec s o er ha sanitary waste <br />Other disposal methods: <br />wells/French Drains <br />RECEIVED BY: <br />'v <br />FAD 23-02-002 <br />