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0 DATE LI'j�J'U1 <br />SAN JOAQUIN COUNTY PR# <br />ENVIRONMENTAL HEALTH DEPARTMENT PAGE l <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name Ll.h <br />OW-1-1 «40 _Facility Address <br />\i Si b <br />PNS' <br />VIOLATION(S) <br />Facilty ContactV��.VI <br />ke o�5 Titl <br />Phone # <br />California Code of Regulations (CCR): <br />U <br />UST# 5 Product l� UST#Product w ST#_,Product <br />UST# <br />ProductOverfill <br />Prevention: <br />❑ AudibleNisu fM``echanical <br />Monitoring Panel: <br />RfAinor <br />❑ Major <br />Piping System: ❑ Gravity ErPressure . ❑ Suction <br />Shut Down Satisfies CCR 2636 : H'Yes ❑ No <br />Violations: <br />Dispenser Pan: @- es <br />❑ No <br />Automatic Pump <br />flRoutine ❑Monitoring Certification ❑Complaint <br />❑Install ❑Removal ❑Repair/Upgrade <br />INSPECTION TYPE: <br />COMPANY NAME: TVI <br />Le— TECHNICIAN NAME: <br />PHONE: <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 HSC 25284 <br />Permit to operate <br />20 <br />CCR 2712 (b) <br />Maintenance & monitoring <br />records <br />2 CCR 2637 <br />Secondary cont testing (6 <br />month/36 month) <br />21 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />'Annual <br />3CCR 2711(b) & (c) <br />Current State Forms A & B <br />22 <br />CCR 2630 (d) <br />CCR 2630 (d) <br />line leak detector test <br />Annual monitoring certificatio <br />4�-HSC 25292.2 <br />Certification of financial <br />responsibility and letter from <br />23 <br />24 <br />CCR 2643 (d) <br />Daily monitoring of suction <br />piping that is not continuousi, <br />chief financial officer <br />monitored <br />5 CCR 2630 (d) <br />Continuous monitoring system <br />25 <br />CCR 2636 (a) <br />Conventional suction piping <br />6 CCR 2636 (c)(1) <br />for UST system <br />All releases in secondary piping <br />shall have continuous <br />monitoring & 20 containment <br />7 HSC 25291 (e) <br />flow to a collection sump <br />Water in secondary (20) cont <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gra <br />piping that is not continuous) <br />8 HSC 25291 (f) <br />Automatic line leak detector(s) <br />monitored <br />9 CCR 2636 (f)(1) <br />Continuous monitoring system <br />27 <br />CCR 2662 <br />Upgrade requirements for U: <br />for underground piping <br />system <br />10 CCR 2632 (c)(2) <br />Continuous monitoring system <br />28 <br />CCR 2661 <br />Permit to repair UST system <br />11 HSC 25291(a)(2) <br />for UST <br />Secondary containment for <br />29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />12 CCR 2636 (f)(1) <br />UST is tight <br />Continuous monitoring system <br />30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />for dispenser system <br />31 <br />HSC 25298 (b) <br />Permit to temporarily close l <br />13 CCR 2635 (b)(1) <br />Spill container <br />system <br />14 CCR 2635 (b)(2) <br />Overfill prevention system <br />Primary containment is product- <br />32 <br />HSC 25298 (c) <br />Permit to close UST system <br />15 CCR 2631 (a) <br />33 <br />HSC 25291 (e) <br />Water in 20 cont analyzed a <br />16 HSC 25292.1 <br />tight <br />UST system is operated to <br />34 <br />CCR 2640 (e) <br />properly disposed of <br />Single wall component withi <br />prevent unauthorized release <br />1000' of Public Well, no EL[ <br />17 CCR 2650 <br />Recording/reporting <br />35 <br />CCR 2635(a)(2)(A) Cathodic protection testing <br />18 CCR 2632 (d) <br />unauthorized release <br />Monitoring & response plan <br />36 <br />H&SC 25299(a)(9)Disablingvic <br />n(s) k detectsted a e vE <br />19 CCR 2712 (i) <br />Monitoring & response plan is <br />37 <br />on site <br />�y <br />EHD INSPECTOR: <br />PHONE: <br />RECEIVED BY: <br />TITLE: <br />