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0 <br />SAN JOAQUIN COUNTY 9 'py <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 /g ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />vzoLAAga <br />Designated Operator: <br />704 2 7 Sy 'r'� a0 <br />InspeStion Date. <br />Facility address:: �^ <br />L163p <br />w W <br />UST # <br />Product <br />F <br />Facility Contact: Title: Phone: <br />s -ha pa-'Tsb K3— ZoQZ <br />Monitoring Panel: <br />PPipl!"stem:Over 1 prevention: <br />L�Fressurized 11 Suction ❑ Gravityl�'Mechanical ❑ Audible/visual <br />Inspep n type: Violations: <br />Ia�Routine Monitoring Certification ❑ Installation ❑ Other: ❑ MI-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />`, <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b & c <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <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 />MI <br />8 <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 />UST monitorin system is present <br />Ml <br />I 1 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />M1 <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 />Ml <br />14 <br />CCR 2631 a <br />Primary 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 i in flow to a collection sum <br />17 <br />HSC 25291 <br />Line leak detectors are installed <br />(Mi) <br />18 <br />CCR 2635 (b)(i) <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 />1 CCR 2650 <br />Recording/reporting of unauthorized releases <br />Ml <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 />(Ml) <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 <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 -January 1, 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 system <br />34 <br />1 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)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD INSPECT <br />Ar <br />PHONE: <br />Z S q to Com` -,r 3 G' �/ <br />/ (� v ! <br />U C <br />Septic system: <br />❑ Serves >_20 pl <br />_ Receiv r t sanitary waste <br />Other dis o e o <br />ells/Fr n h ins <br />ItE E E BY: <br />A <br />T TLE: <br />'9L- <br />IN <br />EHD 23-02-002 <br />