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DATE & ?,L4 10q <br />SAN JOAQUIN COUNTY PR# <br />ENVIRONMENTAL HEALTH DEPARTMENT PAGE <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />v-e- <br />Facility Name Y DSM O -Z AMSL-j9/1A Facility Address 1 330 6. `'% se m lk' 4v -e- <br />Facilty Contact �et/A1.1Ilr Title &int Phone # <br />Facilty <br />UST# Product_ UST# 2 ProductUST# Product fit- UST# <br />Product <br />Overfill Prevention: ❑ AudibleNisual Mechanical <br />c� <br />Monitoring Panel: 1% (Z Tcs <br />Piping System: ❑ Gravity, NOressure ❑ Suction <br />Violations: <br />XMinor ❑ Major <br />Automatic Pump Shut Down Satisfies CCR 2636 <br />❑ Yes ❑ No Dispenser Pan: <br />es ❑ No <br />INSPECTION TYPE: poutine []Monitoring Certification <br />❑Complaint ❑Install ❑Removal <br />❑Repair/Upgrade <br />COMPANY NAME: TECHNICIAN NAME: PHONE: <br />VIOLATION(S) <br />The above facility is not in compliance with the following <br />section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations <br />(CCR): <br />1 HSC 25284 Permit to operate <br />20 CCR 2712 (b) <br />Maintenance & monitoring <br />2 CCR 2637 Secondary cont testing (6 <br />month/36 month) <br />21jCCR 2636 (f)(4) <br />records <br />Annual line tightness test <br />detector t( <br />3 V1 CCR 2711(b) & (c) Current State Forms A & B <br />22 CCR 2630 (d) <br />23�CCR 2630 (d) <br />Annual line leak <br />Annual monitoring certific� <br />4�HSC 25292.2 Certification of financial <br />24 CCR 2643 (d) <br />Daily monitoring of,suctior <br />responsibility and letter from <br />chief financial officer <br />piping that is not continuos <br />5 CCR 2630 (d) Continuous monitoring system <br />for UST system <br />25 CCR 2636 (a) <br />monitored <br />Conventional suction pipir, <br />6 CCR 2636 (c)(1) All releases in secondary piping <br />shall have continuous <br />flow to a collection sump <br />monitoring & 20 containm( <br />7 HSC 25291 (e) Water in secondary (20) cont <br />26 CCR 2643 (e) <br />Biennial g st tness not test ufo( <br />PP 9ha <br />8 HSC 25291 (f) Automatic line leak detector(s) <br />monitored <br />9 CCR 2636 (f)(1) Continuous monitoring system <br />for underground piping <br />27 CCR 2662 <br />Upgrade requirements for <br />10 CCR 2632 (c)(2) Continuous monitoring system <br />28 CCR 2661 <br />system <br />Permit to repair UST syst( <br />for UST <br />11 HSC 25291(a)(2) Secondary containment for <br />29 HSC 25286 (a) <br />Permit to alter monitoring <br />UST is tight <br />12 CCR 2636 (f)(1) Continuous monitoring system <br />30 HSC 25298 (a) <br />system <br />Illegal abandonment of U: <br />for dispenser system <br />13 CCR 2635 (b)(1) Spill container <br />31 HSC 25298 (b) <br />system <br />Permit to temporarily close <br />14 CCR 2635 (b)(2) Overfill prevention system <br />15 CCR 2631 (a) Primary containment is product- <br />32 HSC 25298 (c) <br />system <br />Permit to close UST syste <br />tight <br />33 HSC 25291 (e) <br />Water in 20 cont analyzer <br />16 HSC 25292.1 UST system is operated to <br />prevent unauthorized release <br />34 CCR 2640 (e) <br />properly disposed of <br />Single wall component wii <br />17 CCR 2650 Recording/reporting <br />unauthorized release <br />1000' of Public Well, no E <br />35 CCR 2635(a)(2)(A) Cathodic protection testin <br />/ <br />18 V CCR 2632 (d)r- Monitoring & response plan <br />36H&SC 25299(a)(9) Disabling leak detect. dev <br />Violation(s) not listed abo <br />19 CCR 271 (i) Monitoring & response plan is <br />37—VL <br />on site <br />/ <br />EHD INSPECTOR: V�� �I U+2� <br />PHONE: <br />D : <br />RECEIVED BY: <br />TITLE: <br />Z <br />A <br />I INIT111A IST/INSP (rev 7/24/02) <br />