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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigoy.org�efid. <br />Facility name: <br />Designated Operator: <br />A <br />Inspection Date: <br />4>4 7 <br />Facility address: <br />fik4(x!47 J,- <br />UST # <br />'Product <br />Fa <br />o ACL; Title: _-Kon—e.- <br />owltl_ <br />Monitoring Panel: <br />�5rtq I_ZPressurized <br />Piping system: <br />0 Suction 0 Gravi!y <br />Overfill prevention: <br />0 Audible/visual <br />Inspection type: <br />eRoutine -2monitoring <br /># Code Section <br />_62IAechanical <br />i -Violations:— <br />Certification D Installation El Other: JAIM01-RDetect D M2-RPrev <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=RFgeat Violation <br />El M-3 Both <br />V R <br />V <br />I <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test gerformed <br />3 <br />CCR 2711 b) & c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial res2onsibility and CFO letter <br />5 <br />CCR 2632 b) <br />Monitoring Program Monitoring & Res once Planis current and approved by the local agency. <br />6 <br />CCR 2712 (i) <br />Monitorin1an is onsite. <br />7 <br />CCR 2712 (b) <br />Maintenance & monitorinE records <br />(M 1) <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction piping (pre-JanuaEZ, 1, 1984) <br />9 <br />1 HSC 25292.1 <br />UST system iso2erated to revent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitorinsystem is Eresent <br />(M 1) <br />11 <br />CCR 2630 (d) <br />UST system monitorinequi2ment is 2m2erly located to detect a leak <br />(M 1) <br />12 <br />HSC 25291 (b) <br />UST system monitorinE equipment isoperational <br />(M2) <br />13 <br />CCR 2636 1) <br />Continuous monitorinE sXstem for under round E!i2ing & UDC is present <br />14 <br />CCR 2631 (a) <br />s2ntainment is 2roduct tight <br />15 <br />1 HSC 25291 a(2) <br />_Prima <br />Secondary containment for UST is tiht <br />j <br />16 <br />CCR 2636 c) 1) <br />All releases in secondary pipinE flow to a collection sump <br />17 <br />18 <br />HSC 25291 (f) <br />CCR 2635 (b)(1) <br />Line leak detectors ) are installed <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill 2revention system <br />(M2) <br />20 <br />21 <br />_ <br />CCR 2636 (a) <br />HSC 25291 (e) <br />Conventional t <br />Water in 2' containment analyzed &ir 3erly disposed of <br />22 <br />CCR 2650 <br />Recording/r2ortina of unauthorized releases <br />(M 1) <br />23 <br />CCR 2715 <br />DesiEnated 02erator: (a) Statement from UST owner; c -e) Monthly in2ection;_(t) Employee training <br />24 <br />— <br />CCR 2638 a) <br />Annual monitorincertification <br />25 <br />CCR 2638 a) <br />Annual line leak detector test <br />(M1) <br />76 <br />HSC 25284.2 <br />Annual spill containment testin <br />27 <br />CCR 2636 4) <br />Annual line tightness test <br />(M1) <br />28 <br />CCR 2661 (t) <br />Repair for tank/ pi2inhas had tightness test- <br />(M2) <br />29 <br />CCR 2643 (e <br />Biennial tightness test ofgravity piping (g:eE-2J2a2n2uarpyL1Lz,_I M984� <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction 2ipinE (2re-Janum 1, 1984) <br />(M1) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitorinE system <br />34 <br />35 <br />HSC 25298 (b) <br />HSC 25298 c <br />Permit to temporarily close UST system <br />Permit to close UST s stem <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 a) <br />IlleEal abandonment of UST system <br />38 <br />Other: <br />I <br />EHD INSPECTOR: I PHONE: <br />EHD 23-02-002 REV 05/07 <br />Cij <br />Septic system: <br />- Serves �!20 people/day <br />- Receives other than sanitary waste <br />Other disposal methods: <br />- Dry wells/French Drains <br />