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SAN JOAQUIN COUNTY <br /> OENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,P Floor,Stockton,CA 95202-2708 <br /> Telephone. (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.orgzehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> f <br /> R H ad )IOVI if, %Rkn <br /> F address:acili UST# <br /> Product 7-41 <br /> Facility Contact- t Phone: <br /> itoriOverfill prevention: <br /> g,iahii: Piping systeml <br /> Pressurized 0 Suction 0 Gravity AMechanical 11 Audible/visual <br /> Inspection type: <br /> Violations: <br /> Routine 0 Monitoring Certification 11 Installation El Other: El M I-RDetect El M2-RPrev 0 M-3 Both <br /> F* <br /> VIOLATION(S)HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V=Violation;RV=Repeat Violation V <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 (b)&(c) Current Unified Pro am 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&res2onse 21an is current and filed with the local Mency <br /> 6 CCR 2712(i) Monitoring&reER2nse plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records (MI) <br /> 8 CCR 2643 d Daily monitoring of suction piping(pre-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to revent unauthorized release <br /> 10 CCR 2632(c2) UST monit2rin s)Lstem,is 2resent'_ (Mi) <br /> I I CCR 2630(d) UST system monitoring equipment is 2roperly located to detect a leak (MI) <br /> 12 HSC 25291 (b) UST sistern monitoring equipment iso erational (M2) <br /> 13 CCR 2636 I) Continuous monitoring system for underEound 2i2ing&UDC is present (Mi) <br /> 14 CCR 2631 (a) Primary containment is uct tight <br /> 15 HSC 25291 (a2) Second 2a containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary Liping flow to a collection sump <br /> 17 HSC 25291 (f) Line leak detector(s)are installed (MI) <br /> 18 CCR 2635(b)(1) Spill container (MD <br /> 19 CCR 2635(b)(2) Overfill 2revention system (M2) <br /> 20 CCR 2636(a) Conventional suction Liping shall have continuous monitoring&2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&properly disposed of <br /> 22 CCR 2650 RecordinLreRorting of unauthorized releases (Mi) <br /> 23 CCR 2715 Designated 22erator:(a)Statement from UST owner; (c-eMonthly inspection; Employee training <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (Mi) <br /> 26 HSC 25284.2 Annual spill containment testin <br /> 27 CCR 2636(f)(4) Annual line tightness test (Ml) <br /> 28 CCR 2661 (f) Repair for tank/ (M2) <br /> 2iping has had tightness test <br /> 29 CCR 2643 e) Biennial tightness test of Eavity piping(pre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction p!ping(pre-Janu1, 1984) (Mi) <br /> 31 HSC 25292.5 Double wall system located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to re it UST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) 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 /> EY15 INSPIECTOR. PHONE: UIC <br /> Septic system: <br /> 2of c4ei) W-�do— Serves�!20 people/day <br /> RECEIV Tltl,F-' Receives other than sanitary waste <br /> Other disposal methods: <br /> A 1,112- Dry wells/French Drains <br /> EHD 23-02-002 <br />