Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> WVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3`d Floor, Stockton,CA 95202- 708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> UNDERGROUND STORAGE TAN (UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Ins ection Date: <br /> OC4 �' On if <br /> Facility address: UST# <br /> 4 S' <br /> Mat W0,1660 G yl Product t <br /> Facility Contact: Title. Phone: i�/Le� �(05' <br /> Gin w J va in l ll� M <br /> oitoring Pangl: Piping system: Overfill prevention: <br /> i aV(,0 W t I ressurized ❑Suction ❑Gravity Mechanical ❑Audible/visual <br /> Inspection type: ,olations: <br /> Routine Monitoring Certification ❑Installation ❑Other: ❑M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> L, (S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation;RV=Re eat Violation <br /> 1 HSC 25284 Permit too erate <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) MonitorinE&response 21an is current and filed with the local a enc <br /> 6 CCR 2712 i) Monitorin &response plan is onsite <br /> 7 CCR 2712 b Maintenance&monitoring records 1) <br /> 8 CCR 2643(d Daily monitoring of suction 2iping(pre-Janu , 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to 2revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is' resent (MI) <br /> 11 I CCR 2630 d UST system monitoring equipment is properly located to detect a leak ( l <br /> 12 HSC 25291 UST system monitoring equipment isoperational 2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present 1 <br /> 14 CCR 2631 a) Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Secondaa containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in second2a pipingflow to a collection sum <br /> 17 HSC 25291 ( Line leak detectors are installed Ml <br /> 18 CCR 2635(b)(1) Spill container ( 2 <br /> 19 CCR 2635(b 2) Overfill prevention system 2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases <br /> 23 CCR 2715 Designated O erator Statement from UST owner; (c-e)Monthlyinspection; f)Em loyee training <br /> 24 CCR 26318 a Annual monitorin' certificafion <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annual s ill containment testing <br /> 27 CCR 2636 4 Annual line ti htness test 1 <br /> 28 CCR 2661 ( e air for tankl2ipjag has had ti mess test (M2) <br /> 29 CCR 2643 a Biennial tightness test of Eavity 2i2inE( re-Januar 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventionallsucti m piping( re-Janu 1, 1984 ( 1 <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to re air UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25,298(b) Permit to oraril 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 /> WED IN PECTOR: PHONE: UIC <br /> Septic system: <br /> 1tC C Serves>_20 people/day <br /> R C D Y: TITL : ❑Receives other than sanitary waste <br /> r Other disposal methods: <br /> Irm Ole rJ wells/French Drains <br /> Fun 71-02-002 <br />