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SAN JOAQUIN COUNTY DATE 9/091'oy <br />PR# 02!3/ 069 <br />%NVIRONMENTAL HEALTH DEPART NT <br />PAGE / <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name C� / ��� �, acility <br />Address <br />Facility ContactCZ _, L,lr,C,,;. / T le �` , �� 7?'� Phone # 1«2 - Ot '5- Z_ <br />UST# _ Product CtAL, UST# _ 5 Product j � L UST#_Product UST# Product <br />Overfill Prevention: ❑ AudibleNisual R'ICilechanical• Monitoring Panel: 0CF1- 0,066 <br />Piping System: ❑ Gravity i;�#ressure ❑ Suction/ Violations: ❑ Minor [I Major <br />Automatic Pump Shut Doywn Satisfies CCR 2636 (g): ❑ Yes Mf No Dispenser Pan: Comes ❑ No <br />INSPECTION TYPE: <br />COMPANY NAME: <br />utine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />TECHNICIAN NAME: <br />VIOLATION(S) <br />PHONE: <br />The above facility is not in compliance -with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 HSC 25284 Permit to operate 1 20 i/ CCR 2712 (b) Maintenance & monitoring <br />2 <br />CCR 2637 <br />Secondary cont testing (6 <br />Annual line tightness test <br />Annual line leak detector test . <br />234: CCR 2630 (d) <br />month/36 month) <br />3CIk <br />2711'(b) & (c) <br />Current State Forms A & B, <br />4 <br />HSC 25292.2 <br />Certification of financial <br />25 CCR 2636 (a) <br />Conventional suction piping <br />responsibility and letter from. <br />shall have continuous <br />chief financial officer <br />5 <br />CCR 2630 (d) <br />Continuous monitoring system <br />piping that is not continuously <br />for UST system <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary piping <br />system <br />28 CCR 2661 <br />flow to a collection sump <br />7 <br />HSC 25291 (e) <br />Water in secondary (20) cont <br />8 <br />HSC 25291 (f) <br />Automatic line leak detector(s) <br />9 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />Permit to temporarily close USI <br />for underground piping <br />10 <br />CCR 2632 (c)(2) <br />Continuous monitoring system <br />Water in 20 cont analyzed and <br />for UST <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for <br />1000' of Public Well, no ELD <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />UST is tight <br />12 <br />CCR 2636 (f)(1) <br />Continuous monitoring system <br />PHONE: ' c' <br />for dispenser system <br />13 <br />CCR 2635 (b)(1) <br />Spill container <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />15 <br />CCR 2631 (a) <br />Primary containment is product - <br />tight <br />16 <br />HSC 25292.1 <br />UST system is operated to <br />prevent unauthorized release <br />17 <br />CCR 2650 <br />Recording/reporting <br />unauthorized release <br />18R <br />2632 (d) <br />Monitoring & response plan <br />19 <br />CCR 2712 (i) <br />Monitoring & response plan is <br />on site % <br />7 <br />UNITIII/UST/INSP (rev 724/02) <br />records. <br />21 CCR 2636 (f)(4) <br />22CCR 2630 (d) <br />Annual line tightness test <br />Annual line leak detector test . <br />234: CCR 2630 (d) <br />Annual monitoring certification <br />24 CCR 2643 (d) <br />Daily monitoring of suction <br />piping that is not continuously <br />monitored <br />25 CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />26 CCR 2643 (e) <br />Biennial tightness test of gravity <br />piping that is not continuously <br />monitored <br />27 CCR 2662 <br />Upgrade requirements for UST <br />system <br />28 CCR 2661 <br />Permit to repair UST system <br />29 HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />30 HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />31 HSC 25298 (b) <br />Permit to temporarily close USI <br />system <br />32 HSC 25298 (c) <br />Permit to close UST system <br />33 HSC 25291 (e) <br />Water in 20 cont analyzed and <br />properly disposed of <br />34 CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />35 CCR 2635(a)(2)(A) Cathodic protection testing <br />36 H&SC 25299(a)(9) Disabling leak detect. devices <br />37 <br />Violation(s) not listed above <br />PHONE: ' c' <br />TITLE: Y'7`Y41=-2trc'J <br />