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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.siaov.org/Leqhnad <br /> UNDERGROUND STORAGE TANK JUST) PROGRAM .INSPECTION REPORT_ <br /> Facility name: Designated Operator: Inspection <br /> 7 VVVJ Dat7�, <br /> 0 Iq b-4,M, _et -7 <br /> Facility addres UST# -7 <br /> Product <br /> Facility Contact: Title: Phone: <br /> 620.9�s -01®i Palo"I" <br /> Monitorlo Panel: ' - I Piping system: Overfill prevention: <br /> VP= T-S ZEP I'qPressurized 0 Suction 0 Gravity -4Mechanical 0 Audible/visual <br /> Inspection type: M I tions: <br /> lkRoutine511vionitorin Certification 0 Installation 0 Other: Ml-RDetect 0 M2-RPrev 11M-3 Both <br /> --- I - VIOLATION(S) HSC=California Health &Safety Code;C6R-=California Code of Regulations V R <br /> # Code Section V=Violation; RV=Repeat Violation V <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performec <br /> 3 CCR 2711 (b)&(c) Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br /> 4 1 HSC 25292.2 Certification of financial responsibility and CFO letter j-L-jq-09 <br /> 5 1 CCR 2622 LbL Monitoring Program(Monitoring&Res2onse Plan)is current and aperoved by the local agenc y._ <br /> 6 CCR 2712(i) Monitoring plan is onsite. <br /> 7 CCR 2712_j!?j_ Maintenance&monitor (MI) <br /> CCR 2643(d) Daily monitoring of suction piping (ere-January, 1, 1984) <br /> 9 HSC 25292.1 LIST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) LIST monitoring system is present (MI) <br /> 11 CCR 2630 d UST system monitoring equipment is properly located to detect a leak (MI) <br /> 12 HSC 25291 (b)_ LIST system monitoring equipment is operational (MI) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground piping&UDC is present (MI) <br /> 14 CCR 2631 (a) Primary containment is eroduct tight <br /> 15 HSC 25291 (2E?L_ Secondary containment for UST is ti ht <br /> 16 CCR 2636(c)(1) All releases in secondary piping flow to a collection sump <br /> 17 HSC 25291 f Line leak detector(s)are installed (Ml)___ <br /> 18 CCR 2635 b 1 Spill container (M2) <br /> 19 CCR 2635(b)(2)� Overfill prevention system (M2) <br /> 20 CCR2636(a) <br /> --1— Conventional suction piping shall have continuous monitoring&20 containment <br /> — <br /> F23 <br /> HSC 25291 (e) Water in 20 containment analyzed&properly disposed of <br /> CCR 2650 Recording/reporting of unauthorized releases (MI) <br /> CCR 2715 _ Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection; Em to ee training <br /> CCR 2638 (a) Annual monitoring certification <br /> CCR 2638(a) Annual line leak detector test (MI) <br /> 26 1 HSC 25284.2 Annual spill containment testin2 <br /> 27 CCR 2636(f)(4) Annual line tightness test --LM-1 L <br /> 28 CCR 2661 (n Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 (e) Biennial tightness test of gravity piping(pre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping (pre-January 1, 1984) (Mi) <br /> 31 HSC 25292.5 Double walls stem located within 1000°of eublic well-ELD <br /> 32 CCR 2661 Permit to repair LIST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close LIST system <br /> 35 HSC 25298 (c) Permit to close LIST system <br /> 36 HSC 25299 Disabling leak detection devices <br /> — I _(a 2 <br /> )(9)(f)( ) <br /> 37 -T HSC 25298 a 111111 al abando meet of LIST syste <br /> 38 1 Otherr <br /> .4& <br /> EHDINSPECTOR-XIPHONE: 4-bg-3a,,?-Cj Septic system: UIC <br /> M , MP14 0 Serves>_20 people/day <br /> /V" <br /> C ED TITLE: 0 Receives other than sanitary waste <br /> Other disposal methods <br /> 0 Dry wells/French Drains <br /> HD -02-002 REV 8/08 LIST INSPECTION FINAL <br />