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I <br /> 0 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.sigoy.orejehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAMINSPECTION REPORT <br /> Facility name: Designated 41#j [nspFetion Date: <br /> Te il ot,el 1_ -f— �f bpj vzy/08 <br /> Pachfty address: UST# 7, <br /> —.4 C ( - <br /> 12, 0 r/ AL<, 'P-roduct l <br /> -Acility Contact: Title: Phone: i � <br /> �.)teU,ft) scL%4^1�wj <br /> k) <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> 3uQ0 ki <br /> ,4Eressurized El Suction 0 Gravity ❑Mechanical A+Audible/visual <br /> Inspection type: Violations: I <br /> outine 252-Monitoring Certification El Installation El Other: El M I-RDetect El M2-RPrev 0 M-3 Both <br /> VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section 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 lFacility and tank form) <br /> 4 HSC 25292.2 Certification of financial res2onsibili!z and CFO letter <br /> 5 CCR 2632(b) Monitoring Program Monitoring&Responsi and approved by the local agency. <br /> 6 CCR 2712(i) Monitoring 21an is onsite. <br /> 7 CCR 2712(62 Maintenance&monitorinE records <br /> 8 CCR 2643(d) Dail X monitoring of suction ei2inZ( re-Januaa, 1, 1984) <br /> 9 1 HSC 25292.1 UST s stem iso erated to revent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitorinE system is eresent (MI) <br /> I I CCR 2630(d) UST s stem monitoring equil)ment i, rooerly located to detect a leak (M 1) <br /> 12 HSC 25291 (b) UST system monitoring equipment iso2erational (M2) <br /> 13 CCR 2636(DI 1) Continuous monitoring system for under round 2i2ing&UDC is present (Ml) <br /> 14 CCR 2631 (a) Primary containment is 2roduct ti ht <br /> 15 HSC 25291 (a 2) Secondary containment for UST is tight <br /> 16 CCR 2636 c) I) All releases in secondary pi2ing flow to a collection sum2 <br /> 17 HSC 25291 Line leak detector(s)are installed (M 1) <br /> 18 CCR 2635(b)(1) Spill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system <br /> 20 CCR 2636(a) Conventional suction <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&2ro2erly diseosed of <br /> 22 CCR 2650 Recordin /re2ortina of unauthorized releases (M 1) <br /> 23 CCR 2715 Designated 02erator:(a)Statement from UST owner; (c-e)Monthly inspection;(f)Employee traininE <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (M1) <br /> 26 HSC 25284.2 Annual s2ill containment testing <br /> 27 CCR 2636(D(4) Annual line tightness test M1) <br /> 28 CCR 2661 (1) Repair for tank/piping has had tightness test (M2) <br /> 29 CCR 2643(e) Biennial tightness test of Eravity piping(pre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction pi2ing(Ere-JanuaEZ 1, 1984) (M1) <br /> 31 HSC 25292.5 Double wall system located within 1000'o!�public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to tem2orarilX close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 1 HSC 25298(a) IlleEal abandonment of UST system <br /> 38Other: I — <br /> EHD[>"ECTOR:, PHONE: UIC <br /> Se s stein: <br /> es�:20 people/day <br /> RECEIVM fly:' TITLE: Recei other than sanitary waste <br /> Other disnosal in ods: <br /> Dry wells/Free Drains <br /> EHD 23-02-002 REV 05/07 <br />