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46 SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />WD] D1 111" 1,T$I 1101 my IM <br />ty name: <br />f--� L4-qyv-VL <br />D i nated Operator: <br />Facility address: <br />jbD1 W. �4w"Vl Ul WM qp2ft <br />UST # <br />Product q7 <br />7 <br />C11 6 <br />Facility EyfContact: <br />�i YM!LAI <br />Tit Phone: <br />W"21 ;5761 <br />P nel:Piping❑ <br />system: <br />Pressurized El Suction El Gravity <br />0 fill prevention: <br />_ <br />Mechanical El Audible/visual <br />-lopection type: 5MS&q6l &�V`iolations: <br />Routine onitoring Certification El Installation �WVAA, El M I -RDetect El M2-RPrev <br />2k 000therl&_M2344- <br /># Code Section VIOLATION(S) HSC=Califom'ia Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=R22eat Violation <br />)(M-3 Both <br />V R <br />7R <br />V <br />V <br />I <br />HSC 25284 <br />Permit to operate <br />2 <br />CCR 2637 <br />Secon 12a containment test.perfortned <br />3 <br />CCR 2711 (b) & (c) <br />Current Unified Proram Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 (b) <br />Monitoring Proram (Monitorin� & Res once Plan) is current and approved by the local agency. <br />6 <br />CCR 2712 i) <br />Monit wing plan is onsite. <br />7 <br />CCR 2712 (b <br />Maintenance & rn mitoring records <br />(Y IL <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction piping (pre-Janua!l, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system iso2erated to revent unauthorized release <br />10 <br />CCR 2632 c) 2) <br />UST monitoring system is 2resent <br />(M 1) <br />I I <br />CCR 2630 (d) <br />UST system monitoring equipment is 2ro2erly located to detect a leak <br />(M 1) <br />12 <br />HSC 25291 (b) <br />UST s stem monitoring equipment isoperational <br />(M2) <br />13 <br />CCR 2636 (D(I) <br />Continuous monitoring system for underground piping & UDC is present <br />(M 1) <br />14 <br />CCR 2631 a) <br />Prima a containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is ti ht <br />16 <br />17 <br />CCR 2636 c)(I) <br />HSC 25291 (n <br />All releases in secunda a gi2ing flow to a collection sump <br />Line leak detectors ) are installed <br />18 <br />CCR 2635 (b)I) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2 <br />Overfill 2revention system <br />(N12) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2' containment <br />21 <br />HSC 25291 (e) <br />Water in 2' containment analyzed & 2ro2erly disposed of <br />22 <br />CCR 2650 <br />Recordi/re ortiny, of unauthorized releases <br />(M 1) <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; i2e) Monthl, insEection; (t) Em to ee training <br />24 <br />CCR 2638 (a) <br />Annual monitorincertification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(M 1) <br />26 <br />HSC 25284.2 <br />Annual sj2ill containment testing <br />27 <br />1 CCR 2636 4 <br />Annual line tightness test <br />(M 1) <br />28 <br />CCR 2661 (f) <br />Re air for tank/piping has had tiEhtness test <br />(N12) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity j2i2inrejanuaa 1, 1984) <br />30 <br />CCR 2643 d) <br />Triennial line test for conventional suction 2i2inE (re -January 1, 1984) <br />(M 1) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of 2ublic well-ELD <br />32 <br />CCR 2661 <br />Pen -nit to re air UST system <br />33 <br />1 HSC 25286 (a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 a) <br />� <br />Illeal abandonment of UST system <br />a <br />38 <br />_ <br />Other: <br />N., I 1111U.14 p1l"ITIA <br />RECEIVED BY: <br />EHD 23-02-002 REV 05/07 <br />PH]� ^ UIC <br />Se 2t—ic—system.— <br />Serves �!20 people/day <br />TITLE: Receives other than sanitary waste <br />Other disposal methods: <br />­ Dry wells/French Drains <br />