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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.org'/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: 'We—.g..td Operator: Inspection Date: <br /> Facility address: UST# -T --7 <br /> Product <br /> Fac' jyContact: Title: Phone: <br /> 9LA r I V4,r- OUZ UL 6;� <br /> 1 <br /> Monitoring Panel: ► Piping system: Overfill prevention: <br /> 2-.-570_A- Xpressurized 11 Suction- 0 Gravity echanical E Audible/visual <br /> Inspection type: Violations: <br /> 01 <br /> El Routine or <br /> #T Monitoring Certifieation 11 Installation 11 Other: 11 M I-RDetect 0 M2-RPrev -3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V=Violation;RV=Re2eat Violation V <br /> I HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <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 Program(Monilto2nina& <br /> _a R sponse Plan)is current and a22roved by the local agency. <br /> 6 CCR 2712 i) Monitoring plan is onsite. <br /> 7 CCR 2712(b) Maintenance&monitoring records <br /> (M 1) <br /> 7— CCR 2643(d) Daily monitorinof suction piping(pre-Januaa, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitorinE system is 2resent (M 1) <br /> I I CCR 2630(d) UST system monitoring equipment is properly located to detect a leak (M 1) <br /> 12 HSC 25291 (b) UST system monitoring eq�ipment is�operational (M2) <br /> 13 CCR 2636�'I) Continuous monitoring system for underground piping&UDC is present <br /> 14 CCR 2631 a) Primary containment is product ti ht <br /> 15 HSC 25291 a)12) Secon laa containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondaa 2iping flow to a collection sumE <br /> 17 HSC 25291 t Line leak detectors 2 are installed (M 1) <br /> 18 CCR 2635 b)(I) Spill container (M2) <br /> 19 CCR 2635 b)12) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2'containment <br /> 21 HSC 25291 (e) Water in 2'containment analyzed.&pro2erly disposed of <br /> 22 CCR 2650 Recordin /reporting of unauthorized releases (MI) <br /> 23 1 CCR 2715 Designated 02erator:(a)Statement from UST owner; (c-e)Monthly ins2ectim f)Em2loyee trainin� <br /> 24 CCR 2638(a) Annual monitorinE certification <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annual s2ill containment testing <br /> 27 CCR 26316_f)4) Annual line tihtness test jm 1) <br /> 28 CCR 2661 R2eair for tank/piping has had tightness test (M2) <br /> 29 1 CCR 2643(e) Biennial tightness test of gravit i in re-JanuaEX 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-January 1, 1984) (M1) <br /> 31 HSC 25292.5 Double walls stei located within 1000'of Eublic well-ELD <br /> 32 CCR 2661 Permit to re air UST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to tem 2ora ily close UST system <br /> 35 1 HSC 25298 c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPECTOR: PHONF.' UIC <br /> Septic system7 <br /> Serves�:20 people/day <br /> RECAIVED BY: TITLE: Receives other than sanitary waste <br /> Other disposal methods: <br /> Dry wells/French Drains <br /> EHD 23-02-002 REV 05/07 <br />