Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> OVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,P Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj o�v.or /g ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> Facility address: UST# <br /> Product <br /> Facility Contact: Title: Phone: <br /> >L (i rer�- RA - ) 7 , <br /> -}Monitorin Panel: Piping system: Overfill prevention: <br /> ,L1V� 'rS 1661 Xressurized ❑Suction ❑Gravity echanical ❑Audible/visual <br /> Inspection type: Violations: <br /> outine onitoring Certification ❑Installation ❑Other: 1-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R V=Violation;RV=Re eat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 b)&(c) Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632(c)(2)(D) Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712(i) Monitorin &response plan is onsite <br /> 7 CCR 2712 b Maintenance&monitoring records M1 <br /> 8 CCR 2643(d) Daily monitoring of suction piping(-re-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (Ml) <br /> 11 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak (M1 <br /> 12 HSC 25291 UST system monitoring a ui ment isoperational M2 <br /> 13 CCR 2636 1) 1 Continuous monitoring system for underground piping&UDC is present (Ml) <br /> 14 CCR 2631 a Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary piping flow to a collection sum <br /> 17 HSC 25291 ( Line leak detectors are installed (MI) <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2 <br /> 20 CCR 2636'(a) Conventional suction piping shall have continuous monitoring&21 containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 1 CCR 2650'` Recording/reporting of unauthorizedreleases Ml <br /> 23 CCR 2715 Designated O erator:(a)Statement from UST owner; (c-e)Monthly inspection;(f)Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (Ml) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 (4) Annual line tightness test (Mi) <br /> 28 1 CCR 2661 f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 e) Biennial tightness test of gravity pipingre-Januar 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping( re-Jams 1, 1984) (Mi) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 ) Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> •36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INFECTOR: PHONE � � �� UIC <br /> Septic system. <br /> ❑Serves>�00 le/ <br /> RECEIVED Y: TITLE: ❑Received dtlier h nitary waste <br /> /�L t�+ Other disposal methods: <br /> p "'—' '� ow Yc li A- ❑Dry wells/French Drains <br /> F,HD 23-02-002 <br />