Laserfiche WebLink
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.sjgov.orv-/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> 1A, b,, <br /> a_y <br /> 5 2 t <br /> Facility address: UST# -3 <br /> 1-1 a7 <br /> bo _^/ Az Z-azl' Product S7 <br /> Faclflt Contact: Title: Phone. <br /> ejLAP er- 4,1- Pt rj dt <br /> Mo *oringPsinel: 4-) Overfill prevention: <br /> T-5; .2-goi• <br /> 4 P essurized El Suction El Gravity Xlechanical El Audible/visual <br /> Inspection type: Violations: <br /> DRfoutine D6monitoring Certification El Installation 11 Other: L)irMI-RDetect [I M2-RPrev 0 M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V=Violation;RV=Rc2eat Violation V <br /> I HSC 25284 — Permit too2erate <br /> 2 CCR 2637 — SecondM containment test 2erfortned <br /> 3 CCR 2711 (b)& c) Current Unified Program Consolidated Forms on file with EHD ffacility and tank form) <br /> 4 HSC 25292.2 Certification of financial res2onsibility and CFO letter <br /> 5 CCR 2632 b) Monitoring Pro ram Monitoring&Response Plan)is current and approved by the local agency. <br /> 6 CCR 2712(i) Monitoring plan is onsite. <br /> 7 CCR 2712 b) Maintenance&monitoring records (MI) <br /> 8 CCR 2643 d) Daily monitoring of suction iping(pre-January, 1, 1984) <br /> 9 1 HSC 25292.1 UST system iso eratecl to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (M1) <br /> I I CCR 2630(dUST system monitorina equipment is properly located to detect a leak (M1) <br /> 12 HSC 25291 (b) UST system monitoring equi2ment iso2erational (M2) <br /> 13 CCR 2636(D(I) Continuous monitoring system for under round piping&UDC is present (M1) <br /> 14 CCR 2631 ja) Primary containment is product ti aht <br /> 15 HSC 25291 (a)(2Secon iaa containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in seconda!j 2i2inflow to a collection sum2 <br /> 17 HSC 25291 (D Line leak detector(s)are installed (M 1) <br /> 18 CCR 2635 b)(I) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional t <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&2ro2erly disposed of <br /> 22 CCR 2650 Recordin /re porting of unauthorized releases (M 1) <br /> 23 CCR 2715 Desinatcd 02crator:(a)Statement from UST owner; (c-e)Monthly ins2ection; f)E!Lito ee trainin <br /> 24 CCR 2638(a) Annual monitoring certification Id <br /> 25 CCR 2638(a) Annual line leak detector test (M1) <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636 4) Annual line tightness test <br /> 28 CCR 2661 (f) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of gravity 2i2inre-Janus!j 1, 1984) -- <br /> 30 CCR 2643(d) Triennial line test for conventional suction pi2inE( 1 <br /> pre-Janus 1984) (M1) <br /> 31 HSC 25292.5 Double walls stem located within 1000'of 2ublic well-ELD <br /> 32 CCR 2661 Permit to re air UST system <br /> 33 1 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close UST s stem <br /> 35 HSC 25298 c) Pen-nit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) llle al abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTO <br /> PHONE: UIC <br /> Septic systein <br /> -Serves�!20 people/day <br /> RECEIVED TITLE:TITLE: -Receives other than sanitary waste <br /> Other disposal methods: <br /> Dry wells/French Drains <br /> EHD 23-02-002 REV 05/07 <br />