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SAN JOAQUIN COUNTY <br />WVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br />Telephone. (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br /># <br />UNDERGROUND STORAGE TANK (UST I PROGRAM <br />INSPECTION REPORT <br />Facility name: <br />HSC 25284 <br />Designated Operator: Inspection Date: <br />LOWC-e <br />SAC CHZ-a/'eV/kj <br />11130),e - <br />Facility address: <br />UST # -7 <br />CCR 2711 & (c) <br />Lotvt) 6-9 SA644-1Y%C—,'J 2D SIW-k-i-b <br />97 q1 9'1 <br />o <br />Product <br />Facility Contact: <br />Title: Phone: <br />CCR 2632 <br />Wywl frL <br />Viwv t3i< to A) 0z 0 <br />Monitoring Panel: -F <br />F <br />Piping system: <br />Overfill prevention: <br />VL'U–M- [20�1— IIS35"ressurized <br />11 Suction 0 Gravity <br />I (mechanical 11 Audible/visual <br />Inspection type: <br />Maintenance & monitorina records <br />Violations: <br />FRoutine <br />9"Monitoring Certification 0 Installation El Other: <br />11 M I -RDetect 0 M2-RPrev 11 M-3 Both <br /># <br />Code Section <br />I <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V R <br />V=Violation; RV=Repeat Violation V <br />I <br />HSC 25284 <br />Permit tooperate <br />CCR 2637 <br />Second n containment test performed <br />3 <br />CCR 2711 & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />CCR 2632 <br />c)(2)(D) <br />Monitorin & response plan is current and filed with the local agency <br />CCR 2712 <br />i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 (b) <br />Maintenance & monitorina records <br />(MI) <br />8 <br />CCR 2643 (d) <br />Daily monitorinof suction, LjpLn2 (re-Janan, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system iso2erated to reve t unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is resent <br />(Mi) <br />11 <br />CCR 2630 (d) <br />UST system monitoring equi2ment is properly located to detect a leak <br />(MI) <br />12 <br />HSC 25291 (b) <br />UST s stem monitoring equipment is operational <br />(M2) <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitoring system for underground piping & UDC is present <br />(MI) <br />14 <br />CCR 2631';(a)_ <br />Print Mcontainment i&2roduct tight <br />15 <br />HSC 25291 (a)Q <br />Secondary containment for UST is tight <br />116 <br />17 <br />CCR 2636 c)JI) <br />HSC 25291 <br />All releases in secondary pjping flow to a collection sump <br />Line leak detector(s) are installed <br />(Mi) <br />18' <br />CCR 2635-(b)(1) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2) <br />20 <br />CCR 2636;(a) <br />Conventional suction pjRLng shall have continuous momtoriE� & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & pro erly disposed of <br />1 22 <br />CCR 2650 <br />RecordinSLreporcin g of unauthorized releases <br />23 <br />CCR 2715 <br />Desi g2ated2perator: (a) Statement from UST owner; (c -e) Monthly ins ection; (f) Employee training <br />24 <br />CCR 2638'(a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Mi) <br />26 <br />HSC 25284.2 <br />Annual Mill containment teqLnj <br />27 <br />CCR 2636 (9(4) <br />Annual line tightness test <br />(Mi) <br />128 <br />CCR 2661 (f) <br />Repair for tank/ iping has had titness test <br />(MD <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of Eavity piping (pre -January 1, 1984) <br />30 <br />CCR 2643'!2) <br />Triennial line test for conventional suction piping (pre-JanaM 1, 1984 <br />(Mi) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of 2ublic well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to t2mporarily close UST system <br />35 <br />HSC 25298 c) <br />Permit to close UST system <br />-36 <br />HSC 25299 (a )K9) <br />DisablinE leak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />I <br />I I <br />EHD INSPECTOR: <br />iAA UV i llrr?-A <br />tJ F <br />PHONE: <br />el <br />UIC <br />otic system: <br />D Serves >20 people/day <br />12, Receives other than sanitary waste <br />Other disposal methods: <br />E Dry wells/French Drains <br />RECEIVED BY: <br />TITLE: <br />0 'j OV -L <br />FHD 23-02-002 <br />