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SAN JOAQUIN COUNTY <br />VIRONMENTAL HEALTH DEPARTMENT <br />304 EaNt Weber Avenue, 3`d Floor, Stockton, CA 95202 08 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj og v.or /g ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facilit name: <br />Designated Operator: <br />Inspection Date: <br />Facili <br />V a i� <br />UST # <br />Product <br />' <br />1 <br />a✓ <br />Facility Contact: <br />Title: Phone: <br />Monitoring Panel: / <br />A:) 1 ( ,-, �P a z <br />Pi ing system: <br />Pressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />❑ Mechanical ❑ Audible/visual <br />?I spection type: <br />Routine onitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev ❑ M-3 Both <br />` # <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 <br />HSC 2528 <br />Permit tooperate <br />Z <br />CCR 2637 <br />Secondary contairttent test OTfortned <br />3 <br />CCR 2711 b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />4 <br />H$C 25292.2 <br />Certification of financial responsibili' and CFO letter <br />5 <br />CCR 2632 c (2)(D) <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />Ml <br />1 <br />CCR 2643 (d) <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 c .2 . <br />UT monitoring system is present <br />(Ml) <br />11 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />Ml <br />12 <br />HSC 25291 <br />UST system monitoring equipment isoperational <br />M2) <br />13 <br />CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present <br />(M1 <br />W4' <br />CCR 2631 a <br />containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sump <br />17 <br />HSC 25291 ( <br />Line leak detectors are installed <br />Ml <br />18 <br />CCR 2635 (b)(1) - <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />M2 <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 & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />Mi <br />23 <br />CCR 2715 <br />DesignatedOperator: a Statement from UST owner; (c -e) Monthly inspection; f) Employee training <br />24 <br />CCR 2638 'a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Mi) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 (4) <br />Annual line tightness test <br />(Ml) <br />28 <br />1 CCR 2661 (f) <br />Repair for tank/piping has had tightness test-' <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity piping(pre-January 1, 1984 <br />30 <br />CCR 2643' d) <br />Triennial line test for conventional suction piping (pre-January1, 1984 <br />(Mi) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />CCR 2661' <br />Permit to repair UST system <br />33 <br />HSC 25286 (a) <br />Permit to alter monitoring s stem <br />34 <br />HSC 25298 ) <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 4 '' <br />Disabling`leak detection devices <br />37 <br />HSC 25298 a <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EH <br />IjN SPE70]( <br />4 <br />PH <br />TITLE: <br />UIC <br />Septic system: � <br />❑ Serves >_20 ebpi�/day``' <br />❑ Receives other than sanitary waste <br />Other diWg§i methods: <br />ff Dry wells/French Drains <br />REC IVD BY: <br />EHD 23-02-002 <br />