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10/05/2001 10:44 209-473-7337 MARCH LANE 76 PAGE 02 <br /> a <br /> r <br /> PUBLIC HEALTH SERVICES SAN JOAQUIN Ci uNW <br /> EN 71RON , .NTAL HEALTH DIVISION <br /> 304 B. Weber Mt., Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> "DERGROUND STORAGE TANK(LIST)PROG7ltAM INSPECTION REPORT Name I I b 1 <br /> Facility AddressAjG\�,,, . <br /> Facilty Contact Title <br /> PrograrA IDV ' R- _.Phonl'Na.ALL_ �.� <br /> UST#/Pn►duct Numbc,r of UST(s) <br /> OverfillJPreveritiOn_ Audible and Visual <br /> Piping system: Gravity��Pressuxe ��M�laarucal <br /> Monitoring system y ___Z..-..`.Suction <br /> Automatic pump 8 .tdOwn.satisfies CCR2636{g): 'Yes No <br /> VIOLATION(S) <br /> The,above:facility is not in compliance.with.the;Fallowing seetion(s)�of]health&Safety Code <br /> (HS{;)and/or California Code of Regulations(CCR): <br /> 1 USC 252$4 permit to operate <br /> 2 1$SC 25292.3 Upgrade compliance certificate/sticker <br /> 3 CCR.2711(b) &(c) Curtent,State Form A&H <br /> 10 V CCR <br /> 252922 Certification of financial responsibility and letter from cllief�inancial <br /> 5 officer <br /> ____-CCR 2630(d) Continuous monitoring system for UST system <br /> 6_CCR 2636(c)(1) All releases in secondary piping now to a collection sump <br /> 8_CCR 2636(a) Secondary containment for <br /> $,®,__CCR 2636 Z' pipingis waterproof <br /> C�( ) Automatic line leak deteetor(s) <br /> 9� _ ,CCR 2636(f)(1) Continuous InOnitoring systema for underground piping <br /> 10 CCR 2632(c)(2) Continuous monitoring systcm for UST <br /> I l HSC 25291(x)(2) Secondary containment for UST is tight <br /> 12 CCR 2636(1)(1) Continuous monitoring system for dispenser system <br /> 13 CCR 2635(b)(1) Spill container <br /> 14 CCR 2635(b)(2) Overfill <br /> prevention systerri <br /> �Y <br /> 1S 6CCCR 2631 (a) Prim <br /> 1� 2 631 (a containment is'product-tight <br /> UST system is operated to invent unauthorized release <br /> 17 _CCR 2650 Recordmg/reporttrng-unauthorized-rel e <br /> 1$ _CCR 2632(d) Monitoring and response plan <br /> 19—CCR 2.712(i) Monitoring and response plan is on site <br /> 20CCR 2712(b) Maintenance and monitoring records <br /> 21 CCR 2636 (f)(4) Annual line tightness test •- k0l 3�to <br /> 22CCR 2630(d) Annual luxe leak detector test <br /> 23 ✓ 'CCR 2630(d) Annual monitoring certification <br /> 24 CCR 2643 (d) Daily'Monitoring of suction PiPing that is not continuously <br /> monitored <br /> PHS 260(8/04/00) <br /> 1 of <br />