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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> a Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/eh <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Dgsi nated Qperatpr: Inspection Date: <br /> 2/7- <br /> Facility address: UST# 1 <br /> Product <br /> acility Contact: Title: Phone: , <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> r 7 � LVessurized ❑Suction ❑Gravity ❑Mechanical udible/visual <br /> Inspection type: IViolations: <br /> outine `Monitoring Certification ❑Installation ❑Other: ❑M1-RDetect ❑M2-RPrev ❑M-3 Both <br /> # Code Section <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> V=Violation;RV=Re eat Violation V <br /> 1 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(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b Monitoring Program(Monitoring&Response Plan is current and approved by the local agency. <br /> 6 1 CCR 2712 i Monitoring plan is onsite. <br /> 7 CCR 2712 b Maintenance&monitoring records M1 <br /> 8 CCR 2643 d Daily monitoring of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to 2revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring sysl is present (M1) <br /> I 1 CCR 2630 d UST system moE4bLng equipment is prop ly located to detect a leak M1 <br /> 12 HSC 25291 b UST system nitorin a ui ment isoperational (M2 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present M1 <br /> 14 CCR 2631 a) Pri*2jWcotttamment is product tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tight <br /> 16 CCR 2636(c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detector(s) are installed M1 <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) 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&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases M1) <br /> 23 CCR 2715 DesignatedOperator:(a)Statement from UST owner; (c-e)Monthly inspection; t)Employee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 1 CCR 2638 a) Annual line leak detector test M1) <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test M1 <br /> 28 CCR 2661 Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Janus 1, 1984 <br /> 30 CCR 2643 d) Triennial line test for conventional suction piping(pre-January1, 1984 (M1 <br /> 31 1 HSC 25292.5 Double walls stem located within 1000'of ubli well-ELD <br /> 32 CCR 2661 Permit to repair UST system ! <br /> 33 HSC 25286 a) Permit to alter monitoring system <br /> 3 <br /> 34 HSC 25298 b Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system s <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 1 HSC 25298 a) I Illegal abandonment of UST system I <br /> 38 1 Other: <br /> EHD ECTOR: PHONE: U IC <br /> ,��.,,� y (� L� S s stem: <br /> V`�✓ (� S es>_20 people/day <br /> RECEIV Y: TITLE: Recei other than sanitary waste <br /> Other dis osal in ods: <br /> -Dry wells/Fren Drains <br /> EHD 23-02-002 REV 05/07 <br />