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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT • <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />8 ,10 V-' e'� ���1���o►J 4 i t or'�- (4 4 o 3 <br />Designated Operator: <br />N o�M rNU � e, <br />Ins ection Date: <br />6' 1 y/a S <br />Facility address: / �/ <br />1 vl 1 C Loc L/ S}�'1�' . <br />UST # <br />Product <br />Facility Contact: Title: Phone: <br />p bre q93 — 02,51 <br />Pa 1: <br />MonitriVP <br />!Pressurized <br />Piping system: <br />El Suction El Gravity <br />Overfill prevention: <br />echanical ElAudible/visual <br />Inspection type: <br />Routine ❑ Monitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ M1-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=Califomia Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />1 HSC 25284 <br />Permit tooperate <br />2 CCR 2637 <br />Secondary containment test performed <br />3 CCR 2711 b & c <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br />4 1 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 CCR 2712 b <br />Maintenance & monitoring records <br />Ml <br />8 CCR 2643 d) <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 (c)(2) <br />UST monitorin system is present <br />Ml <br />11 CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />M1 <br />12 HSC 25291 <br />UST system monitoring equipment isoperational <br />M2) <br />13 CCR 2636 1 <br />Continuous monitoring s stem for underground piping & UDC is present <br />M1 <br />14 CCR 2631 a <br />Primary containment is product tight <br />15 HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 HSC 25291 <br />Line leak detector(s) are installed <br />Ml <br />18 CCR 2635 (b)(1) <br />Spill container <br />M2) <br />19 CCR 2635 (b)(2) <br />Overfill revention system <br />M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 1 CCR 2650 <br />Recording/reporting of unauthorized releases <br />Ml <br />23 CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly inspection; (f) Em loyee training <br />24 CCR 2638 a <br />Annual monitoring certification <br />25 CCR 2638 (a) <br />Annual line leak detector test <br />(Ml) <br />26 HSC 25284.2 <br />Annuals ill containment testing <br />27 CCR 2636 4) <br />Annual line tightness test <br />M1 <br />28 1 CCR 2661 (f) <br />Repair for tank/piping has had tightness test <br />(M2 <br />29 CCR 2643 (e) <br />Biennial tightness test of gravity piping(re-Januar 1, 1984 <br />30 CCR 2643 d <br />Triennial line test for conventional suction piping (pre -January 1, 1984) <br />(MI) <br />31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 CCR 2661 <br />Permit to repair UST system <br />33 HSC 25286 a <br />Permit to alter monitoring system <br />34 HSC 25298 <br />Permit to temporarily close UST system <br />35 HSC 25298 (c) <br />Permit to close UST system <br />36 HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 Other: <br />EHD INSPECTOR: <br />Uptj <br />F1 r�'� <br />1 <br />PHONE: <br />(/ — 8 q D <br />—v v <br />UIC <br />Se tic s s <br />- Serves 2 eoPle/day <br />- Receive other than sanitary waste <br />Other dis o 1 thods: <br />ells/F ch Drains <br />RECEIVED BY: <br />-AA/A N J A �/ / f� I{ a <br />NA r ` V cJ � 1 <br />TITLE: <br />EHD 23-02-002 <br />