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'(D <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.sigov.or /a ehd <br />Facility name: <br />)ZIA/- ` <br />Designated Operator: <br />Inspection Date: <br />Facility address: <br />, <br />ow'P <br />UST # <br />oductf�t�i�E/ <br />" <br />FacilityTonS�Mt' W Title: Ph w <br />/ <br />Mo��n,iJJto,ring Panel ' <br />LLU� N �- 0 <br />Piping system: <br />ressurized xSuction 0 Gravity <br />Overfill prevention: <br />Mechanical Audibte/visual <br />Inspection typei <br />Routine r onitorin <br /># Code Section <br />Violations: <br />Certification D Installation D Other: D MI-RDetect D M2-RPrev <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />-3 Both <br />V R <br />V <br />1 <br />HSC 25284 <br />Permit too erate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b) & c) <br />Current Unified Program Consolidated Forms bn file with EHD (Facility and, tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />= <br />CCR 2632 b) <br />Monitoring Program(Monitoring & Response Plan) is current and approved by the local agency. <br />6 <br />CCR 2712 (i) <br />Monitoring lan is onsite.- <br />= <br />CCR 2712 b) <br />Maintenance & monitoring records <br />(MI) <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction pi2ing re -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system iso erated to prevent unauthorized release <br />10 <br />CCR 2632 c)(2) <br />UST monitoring system is present <br />(MI) <br />1 I <br />CCR 2630 d) <br />UST system monitoring a ui ment is properly located to detect a leak <br />(M I) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equipment isoperational <br />(M2) <br />13 <br />CCR 2636 (f)(1) <br />Continuous monitorings stem for under round pi2ing & UDC is present <br />M1) <br />14 <br />CCR 2631 (a) <br />Primary containment is 2roduct tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />l'1 <br />l 8. <br />19 <br />_ <br />2.0 <br />21 <br />CCR 2636c) <br />HSC 25291 <br />CCR 2635 b) 1) <br />...__ CCI; 2635 b)(?) <br />CCR 2636 (a) w _ <br />14SC 25291 (e) -` <br />All releases in secondary piping flow to a collection surnp <br />Line leak detectorjs) are installed <br />Spill container <br />Overfill prevention system _ _. _ _ -_. _. <br />Conventional suction piping shall have continuous monitoring &. 2° containment <br />Water in 2° containment analyzed & properly disposed of <br />(M1) <br />(M2) <br />(w) <br />4� <br />II <br />j <br />22 <br />CCR 2650 <br />of unauthorized releases <br />(M1) <br />23 <br />.—Recordling/rel2orting <br />n CCR 2715 <br />_ <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly infection: (t) Employee training <br />_ <br />24 <br />CCR 2638 a <br />Annual monitorin certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />Gill) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />m <br />m <br />M <br />27 <br />CCR 2636 (f)(4) <br />Annual line ti ltness test _ .•.._ _ _ <br />(NI 4 <br />28 <br />CCR 2661 (f) <br />_ <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 e) <br />Biennial tightness test of gravity pipin- (pre -January 1, 1984) _ <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping ( re -January 1, 1984) <br />(M 1) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of ublic well-ELD _ <br />IL <br />CCR 2661 <br />Permit to re air UST system <br />✓ <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 b) <br />Pen -nit to tem orarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />I Disa ng leak detection devices <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />38 <br />1 Other: <br />F#iD <br />INSPECTOR: <br />DSeotic <br />r <br />ON <br />lilC <br />system: <br />= Serves >_20 people/day <br />- Receives other than sanitary waste <br />Other disposal methods: <br />-• n,,, ,,,>n�;FrP„ter, r.,•,,,,� <br />R CEI D BY:0 <br />_ Aft— <br />FIT <br />C t -r�- 1 t ``N <br />