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SAN JOAQUIN COUNTY <br />*NVIRONMENTAL HEALTH DEPARTMENTIP <br />304 East Weber Avenue, P Floor, Stockton, CA 95202-2708 <br />Telephone. (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov:or e <br />U1N1j1N;lKUlKqjU.Nl0 b .1 113KAUE I AIN K (U M') rKMiXAM IiN hFECIR)IN REPUKY <br />Facility name: <br />- CCR 263 8 <br />Designated Operator: <br />Inspection Dat% <br />1 1 <br />0 t 9 C -k I- <br />C6A) OF0 C- 7",(C /j T II)A7T—If 114� <br />". L:; " �_ ib <br />3121o6 <br />Facility address: <br />27 <br />UST # <br />Annualline to tress test <br />(Mi) <br />CCR 2661 (0 <br />29 <br />CCR 2643(e <br />Biennialtress test of gravi!X <br />1'7,o �W,4141 <br />WC -:W C_ E <br />-'Product <br />;G Sc2 <br />44au 109,84) <br />Facility Contact: <br />Title: Phone: <br />HSC 25292.5 <br />Double wall system located within 1000' of 4lic well-ELD <br />Permit to repair UST <br />7(c) cluz <br />33 <br />HSC 25286 (4 <br />Permit to alter monitoring gise—m <br />Monitoring Panel: <br />34to <br />Piping system <br />Overfill- prevention: <br />V <br />35 <br />Pressurized 11 Suction 0 Gmvity <br />2Me��a)Aical{c grAudible/Asual 9 7) <br />Inspection type: <br />Violations: <br />'a <br />0 Routine F Monitoring Certification, 11 Installation 11 Other: <br />11 M 1 -RDetect 11 M2-RPrev <br />0 M-3 Both <br />37 <br />VIOLATIONS) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations <br />V R <br /># Code Section <br />V <br />V=Violatiw; RV=Repeat Violation <br />71_ HSC 25284 <br />Permit to o2erate <br />2 CCX,`,'%3T V <br />card test <br />3 CCR 2711 Lb) & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />_4 I ' 24t� <br />�,1­,"-dirtiLi29 n of financial-ies, W CFO letter <br />fility and <br />5 CCR 2632 c 2 D <br />Monitoring & response la is current and filed with the local agency <br />R11 <br />70 CCR 2712 <br />Monitoring& esp,01,80�"'­' "t, <br />n te <br />I V; M—W <br />RE <br />7 CCR 2712 (b) <br />Maintenance & monitoring records <br />(Mi) <br />8 CCR 2043, (0) <br />N �i 0fs w ftw -Januar <br />Pwft ry <br />9 HSC 25292.1. <br />UST system is o Rased to revert unauthorized release <br />ii 10— <br />011,11) <br />11 CCR 2630 Ld <br />UST !4eir moni!o�7 equ!p o erly located to detect a leak <br />is <br />(Mi) <br />�!nt <br />A 09,equ#Xpent; 900*iona <br />13 CCR 2636 a Q <br />Continuous monitoring sstem for underground piping & UDC is present <br />(MI <br />7 , , con ainm n:js11 <br />15 HSC 25291(a)(2) <br />Secondary containment for UST is tight <br />CCR 2636 (c)(1) <br />All releases in second�iKto.aczollecti0 sump <br />J <br />t <br />17 HSC 25291 (0 <br />-Line leak detectors are installed <br />ML <br />CCR: (b)(Tj, <br />M;2 <br />19 CCR 2635 b 2) <br />Overfill vention stem <br />(M2) <br />s oft monitoring ;a reontain <br />-7— 77`77`7 <br />21 HSC 25291 (e) <br />Water in 2' containment anal & ero ff!X di sed of <br />2 2650% <br />ecordiiiWrepoio" <br />23 CCR 2715 <br />Designated 0gerator: a Statement from UST owner; (c -e) Monthly inspection; (f) Em <br />gloyee training <br />24 7 5502638'iW777 <br />r7l <br />25 <br />- CCR 263 8 <br />Annual line leak detector test <br />(MlL <br />27 <br />CCR 2636 ( 4 <br />Annualline to tress test <br />(Mi) <br />CCR 2661 (0 <br />29 <br />CCR 2643(e <br />Biennialtress test of gravi!X <br />4p g (ere4anuary 1, 1984) <br />30CCR <br />2643 , <br />44au 109,84) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of 4lic well-ELD <br />Permit to repair UST <br />33 <br />HSC 25286 (4 <br />Permit to alter monitoring gise—m <br />34to <br />Ta" 0*W*0*­ <br />35 <br />HSC 25298 c) <br />Permit to close UST system. <br />'a <br />s4blifig leak detection is <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of UST system <br />EHD INSPECTOR: <br />PHONE: <br />UIC <br />i4l 9V14 <br />SVtiq system: <br />A <br />0 Serves -20 people day <br />/day <br />RE <br />BY: <br />TITLE: <br />0 Receives other than sanitaty w <br />so sanitaryw <br />Other s. <br />Other diMMI methods: <br />disposal t - <br />0 wells/Fenh Drains <br />FHD 23-02-002 <br />