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i <br /> I <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3"1 Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)4640138 Web:www.sigov.org/ehd <br /> 'OLtt=onN <br /> UNDERGROUND STORAGE TANK S PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> `,� <br /> (�A l N <br /> O.�'1 ee- \ MFk Z--- <br /> Facilityaddress: UST# .' '' y •' ?' <br /> 'SOLI V4, WAW-f- LN Prodaet <br /> Facility Contact: Title: Phone: ' <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> e, `"C4> *W 1 10 Pressurized 0 Suction 0 Gravity Mechanical 0 Audible/visual <br /> Inspection type: Violations: <br /> 0 Routine Monitoring Certification 0 Installation 0 Other Ml-RDetect 0 M2-RPrev 0 M-3 Both <br /> VIOLATION(S)HSC=California Health&Safety Code;CCk=Califomia Code of Regulations V R <br /> # Code Section V=Violation,RV=Re at Violation V <br /> 1 HSC 25284 Permit to operate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 e 2 D Monitoring&response plan is current and filed with the local MEncy <br /> 6 CCR 2712 i Monitoring&response plan is onsite <br /> 7 CCR 2712 Maintenance&monrtorin records Ml <br /> 8 CCR 2643 d Daily monitoring of suction pipingary,1,1984) <br /> 9 HSC 25292.1 UST system is operated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present Ml <br /> 11 CCR 2630 d UST system monitoring equipment is property located to detect a leak Mi <br /> 12 HSC 25291 UST system monitoring equipment isoperati <br /> 'onal <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present Ml <br /> 14 CCR 2631 a containment is uct 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 surnp <br /> 17 HSC 25291 Line leak detector(s) are installed i <br /> 18 CCR 2635 1 Spill container M2 <br /> 19 CCR 2635 2 Overfill prevention system Z <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2°containment <br /> 21 HSC 25291(e) Water in 20 containment analyzed&proparly disposed of <br /> 22 CCR 2650 Repording/reporting of unauthorized releases i <br /> 23 CCR 2715 DesignatedOperator- a Statement from UST owner; (c-c)Monthly inspection; Em to ee training <br /> 24 CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annual line leak detector test i <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test I <br /> 28 CCR 2661 Re air for tank/piping has had tightness test M2 <br /> 29 CCR 2643 a Biennial tightness test of ity piping -Janu 11984 <br /> 30 CCR 2643 d Triennial line test for conventional suction i m Jan 1,1984 Ml <br /> 31 HSC 25292.5 Double wall system located witlun 1000'of public well-EI D <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 HSC 25299(a)o Disabling leak detection devices <br /> 37 HSC 25298 a Illegal abandonment of UST system <br /> 38 1 Other: <br /> EHD INSPECTOR: PHONE: ' �/ UIC <br /> r ,'q6f-3Lt +� D Septicsystern: <br /> V1j�l L� I n V ?�5 0 Serves 220 people/day <br /> RECEIVED BY: TITLE: 0 Receives other than sanitary waste <br /> p Other disuosal methods <br /> ey4upv '`U �tJ ANVMt% Ax 0 Dry wells/FrenchDrains <br /> EHD 23-02 <br /> 1/3/07 <br />