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a ! <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax.(209)468-3433 Web:www.si-gov.org hd/unitiii.html <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility name: Inspection date: <br /> J1, # <br /> Facility address: UST#1 <br /> Product <br /> E t: <br /> Facility contact: Tile: Phone: <br /> Monitoring panel: Piping system: Overfill prevention: Violations: <br /> o Pressurized C Suction CC Mechanical Gravity C M1-RDetect M2-RPrev ❑M3 Both <br /> t_ C Audibleivisual <br /> Inspection type: <br /> Designated operator: ICC exp.date: <br /> Routine C Monitoring Certification ,Installation ❑Other. <br /> On site Service Technician's name: ICC exp.date: Manufacturer's training: <br /> x <br /> VIOLATIONSR <br /> # Code Section HSC=CA Health&Safe Code;CCR=CA Code of R ulations:V=Violation;RV=Re at Violation V V <br /> 1 HSC 25284 No permit to operate <br /> Secondary containment:(a)test not performed;(e)test report not submitted within 30 days; (f)test <br /> 2 CCR 2637 notification not provided to the Environmental Health Department(END)at least 48 hours prior to <br /> conducting the test <br /> 3 CCR 2711 b Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form <br /> 4 HSC 25292.2 Current financial responsiVirdy documents not on file with the EHD <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plans is not current or approved by the EHD <br /> 6 CCR 2712(i) Monitoring Ian, response plan,and/or operating ermit and all conditions not onsite <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6 Y2 (an) <br /> years,written performance claims pertaining to release detection systems for 5 years,or records of <br /> repairs, linings,and upgrades for the life of the tank. Monitoring records include:(1)date and time of <br /> 7 CCR 2712(b) all monitoring or sampling;(2)monitoring equipment calibration and maintenance records;(3)results <br /> of any visual observations;(4)results of sample analysis performed a lab or in the field; (5)logs of all <br /> readings of gauges or other monitoring equipment,ground water elevations,or other test results;(6) <br /> results of inventory readings and reconciliations <br /> 8 CCR 2643(d) Daily monitoring of suction piping(preJanuary1, 1984 not performed (Mi) <br /> 9 HSC 25292.1 UST system is not o erated to prevent unauthorized release,including spills and overfills <br /> 10 CCR 2632(c)(2) Monitoring system is not present in the interstitials ace of a double walled UST (MI) <br /> 11 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity(mi) <br /> 12 HSG 25291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (Mi) <br /> containment <br /> 13 CCR 2636(0(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (Mi) <br /> an audible and visual alarm or stops flow of product at the dispenser when it detects a leak <br /> 14 CCR 2631 a Primary containment is not product tight <br /> 15 HSC 25291(a)(2) Secondary containment for UST system is not tight <br /> 16 CCR 2636(c)(1) All releases in secondary pipingdo not flow to a collection sum <br /> 17 CCR 2636(f)(2) Line leak detectors not installed or failed to detect a3-gallon per hour leak at 10 psi (MI) <br /> 18 CCR 2635(b)(1) Spill container failed to contain a minimum capacity of five gallons,or failed to provide a means (M2) <br /> to keep the spill container empty <br /> 19 CCR 2635(b)(2) Overfill prevention system was overridden or failed to meet overfill requirements in this section (1112) <br /> 20 CCR 2636(a) Failed to have secondary containment for piping(includes conventional suction piping) (ail) <br /> 21 HSC 25291(e) Water in 211 containment not removed,analyzed&properly disposed of <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight (Mi) <br /> 22 CCR 2650 hours was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a <br /> sudden loss of product was not reported to the EHD within 24 hours <br /> 23a CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br /> 23b CCR 2715 b Designated operator did not possess a current ICC UST System Operator certification <br /> EHD inspector Refired by: w, Title: <br /> �.... 0—1 1IST INSPECTION REPORT <br />