Laserfiche WebLink
c SAN JOAQUIN COUNTY <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor Stockton CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �gCt•Fe>��/ <br /> UN E G OUN ST G TANK UST) G M INSPECTION REPORT <br /> Facility name Designated Operator: Inspection Date: <br /> i/9h tdY� 1.�►� <br /> -1/41;r Sumo If't <br /> Facility address: I UST# <br /> Product <br /> Facility Contact: Title: Phone: <br /> Cyn NJAD kopi CA -1 4"A <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> fj Pressurized ❑Suction ❑Gravi Mechanical ❑Audible/visual <br /> Inspection type: Violations: <br /> Routine $Monitoring Certification ❑Installation ❑Other: MI-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATIONS)HSC=California Health&Safety Code;CCR=California Code of Regulations V <br /> # Code Section V <br /> V=Violation;RV=Re eat Violation <br /> 1 HSC 25284 Permit too crate <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 CCR 2632(c)(2)(D) Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712 i Monitoring&response plan is onsite <br /> 7 1 CCR 2712 ) Maintenance&monitoring records (Mi) <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 monitorinE system is 2resent Ml <br /> 11 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak (Ml) <br /> 12 HSC 25291 b UST system monitoring equipment iso erational (M2 <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground iping&UDC is present (Ml) <br /> 14 CCR 2631 a Primary containment 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 (Ml) <br /> FF. <br /> 18 CCR 2635 1 Spill container M2 <br /> 19 CCR 2635(b)(2 Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction 2iping shall have continuous monitoring&2°containment <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&2roperly disposed of <br /> 22 CCR 2650 Recordinefteporting of unauthorized releases Ml <br /> 23 CCR 2715 Designated O erator:(a)Statement from UST owner; (c-e)Monthly ins ection;(f)Employee 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 Annuals ill containment testing <br /> 27 CCR 2636(f)(4) Annual line tightness test (MI) <br /> 28 CCR 2661 Repair for tank/ i ing has had tightness test M2 <br /> 29 CCR 2643(e) Biennial tightness test of Eavity 2ipingre-Januar 1, 1984) <br /> 30 CCR 2643 d Triennial line test for conventional suction pi2ing(2re-January1, 1984 Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286(a) Permit to alter monitorinE system <br /> 34 HSC 25298(b) Permit to teMorarily 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 HSC 25298(a) Illegal abandonment of UST system <br /> 38 Other: <br /> EH NSPECTOR: PHONE: UIC <br /> Septic system: <br /> ` ❑Serves>_20 people/day <br /> CEIVED B TITLE <br /> 11 Receives other than sanitary waste <br /> Other disposal methods: <br /> ❑Dry wells/French Drains <br /> EHD 23-02 <br /> 1/3/07 <br />