Laserfiche WebLink
• <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax. (209)468-34313 Web:www.sjgov.,oLq/ehd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection <br /> Date: <br /> A Te , ciw (-�- oAJ Soo -Tn('� -2 to Yt;o 0, o or 1 12006"1 <br /> Facility address: <br /> CUST# <br /> ; <br /> t 2_0 rmAV, 'Oroduct <br /> Facility Contact: Title: Phone: <br /> C P'n rx <br /> Monitoring Panel: Piping system: 9 Ov dill prevention: <br /> Pressurized 0 suction Gravity <br /> Oec JgAudible/visual <br /> Inspection type: I Violations: <br /> D(Routine J(Monitoring Certification 0 Installation 0 Other: AMI-RDetect 0 M2-RPrev 0 M-3 Both <br /> VIOLATIty ON(S) HSC=Califois Health& feCode;CCR=Califomia Code of Regulations V R <br /> # Code Section rViolati, AvfRe2eat 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(Facility and tank form) <br /> 4- HSC 25292.2 Certification of financial res2onsibility and CFO letter <br /> 5 ti CCR 2632 b Monitoring Program(Monitoring&Response Plan)is current and aperoved by the local ncy. <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 piping (pre-January, 1, 1984) <br /> 9 HSC 25292.1 LIST system is operated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (MI) <br /> 11 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak (Mi) <br /> 12 HSC 25291 (b) UST system monitoring equipment iso2erational (MI) <br /> 13. CCR 2636(f)(1) Continuous monitoring system for underground piping_&UDC is present (MI) <br /> 14 CCR 2631 (a) _ Primary containment is product tight <br /> 15 1 HSC 25221LaE2) Sec da containment for UST is tight <br /> 16 CCR 2636_(q)(1 L_ All releases in secondary piping flow to a collection sump <br /> 17 HSC 25291 (f) Line leak detector(s)are installed (Mi) <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&20 containment <br /> 121 ' I HSC 25291 (e)— W&Ijin 20 containment analed&properly disposed of 64 <br /> 22 1 CCR 2650 Recordin– of unauthorized releases (MI) )< — <br /> 23 CCR 2715 Designated Operator:(aj Statement from UST owner; (c-e)Monthly ins -nployee training <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (MI) <br /> 26 HSC 25284.2 Annual spill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (MIL <br /> 28 1 CCR 2661 (D Repair for tank/piping has had tightness test Tz)_ <br /> 29 1 CCR 2643(e) Biennial tightness test of gr.1yity piping(pre-Janus!y 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-Janus!Y 1, 1984) (Mi) <br /> 31 HSC 25292.5 Double wall system located within 1000'of eublic well-ELD <br /> 32 . CCR 2661 Permit to repair LIST sy tem <br /> 33 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close LIST system <br /> 36 HSC 25299 Disabling leak detection devices <br /> a)(9)(0(2) <br /> 37 HSC 5298(a) Illegal abandonment of LIST system <br /> 138 Other: <br /> EHD INSP TO jr PHONE: UIC <br /> Septic system: <br /> 0 Serves>20 people/day <br /> _471 <br /> 0 Receives other than sanitary waste <br /> IVED BY:� TITLE: ry Other disposal methods: <br /> L_[Y! El Dry wells/French Drains <br /> V <br /> 402 REV 8/08 LIST INSPECTION FINAL <br />