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SAN JOAQUIN COUNTY <br /> 46VIRONMENTAL HEALTH DEPARTMENA <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax. (209)468-3433 Web:www.siagy.org//ehnad <br /> UNDERGROUND STORAGE TANK JUST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator:Exp.Date: Inspection Date: <br /> QUICK N SAVE David Winkler 03/03/08 1 41212008 <br /> Facility address: TANK#5 TANK#6 TANK# TANK# <br /> 1901 S EL DORADO ST, STOCKTON Gasoline 91 Gasoline 87 Product Product <br /> Facility Contact: Title: Phone: TANK# TANK# TANK# TANK# <br /> MID MATAR I OWNER 948-2619 Product Product Product Product <br /> Monitoring Panel: Piping system: Overfill prevention: <br /> VR TLS 300C Pressurized El suction El Gravity 0 Mechanical E]Audibletvisual <br /> Inspection 4": Violations: <br /> 0 Routine E Monitoring Certification El installation [I Other: E]Ml-RDetect D M2-RPrev E] M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> V=Violation; RV=Re2eat Violation V <br /> I HSC 25284 Permit to operate El El <br /> 2 CCR 2637 Secondary containment test performed -cr-0 <br /> 3 CCR 2711 (b)&(c) Current Unified Pr ram Consolidated Forms on file with EHD(Facility,Tank,MonitorinWRes ponse) El Ej <br /> .4 HSC 25292.2 Certification of financial responsibilh and CFO letter 1:11 <br /> 5 CCR 2632 Uc(2)(D) Monitoring&response plan is current and filed with the local agency I El <br /> 6 CCR 2712(i) Monitoring&response plan is onsite <br /> 7 CCR 2712(b) Maintenance&monitoring records (Mi) 1 1:1 <br /> 9 HSC 25292.1 UST astern isop2rated to prevent unauthorized release I El <br /> 10 CCR 2632(c)(2) UST monitoring system is present (MI) ❑I Eli <br /> 11 CCR 2630(d) UST system monitoring equipment is properly located to detect a leak (Mi) Ell E]I <br /> 12 HSC 25291 (b) UST system monitoring equipment is operational (M2) Ell 01 <br /> 13 CCR 2636 0(1) Continuous monitoring astern for underground piping&UDC is present (MI) I Ell <br /> 14 CCR 2631 (a) Primary containment is product tight I Ell <br /> 15 HSC 25291 (a)(2) Secondary containment for LIST is tight I Ell <br /> 16 CCR 2636(!g)(1) All releases in secondary piping flow to a collection sump ❑ <br /> I Ell <br /> 18 CCR 2635(b)(1) Spill container (1012) ❑ <br /> 1 Ell <br /> 19 CCR 2635 jb)(2)_ Overfill prevention system (M2) 01 01 <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&properly disposed of Ell F11 <br /> 22 CCR 2650 Recording/reporting of unauthorized releases 'Lll� (MI) ❑ <br /> 23 CCR 2715 Designated Operator: (a)Statement from LIST owner; g),Monthly inspection; Employee training <br /> 24 1 CCR 2638(a) Annual monitorinS certification ❑ <br /> I F1 <br /> 25 CCR 2638(a) Annual line leak detector test (MI) 171 <br /> 26 HSC 25284.2 Annual spill containment testing ❑ <br /> 11 <br /> 27 CCR 2636(q(4j Annual line tightness test (MI) ❑ 01 <br /> 28 CCR 2661 (0 Repair for tank/piping has had tightness test (M2) 171 ❑ <br /> 31 HSC 25292.5 Double wall system located within 1000'of public well-ELD <br /> 32 1 CCR 2661 Permit to repair UST system0 Ell <br /> 34 HSC 25298(b) Permit to temporarily close UST system ❑ EI <br /> 36 HSC 25299(a)(9) Disabling leak detection devices ❑ <br /> 37 HSC 25298(a) III al abandonment of UST system ❑ El <br /> 38 CCR 2638(d) Monitoring Ustem certification test re ort submitted within 30 days. - ❑ <br /> El <br /> 39 CCR 2637(e) Secondary containment test report submitted within 30 days. 0 0 <br /> 40 1 HSC 25290.1 Secondary containment prevents any water intrusion(after July 1,2004) 1 Eli <br /> 41 HSC 25290.2 Seconds containment prevents any water intrusion(after July 1,2003 and before July 1,22011) - ni <br /> 38 Other: <br /> L <br /> 0 <br /> EHD INSPECTOR: PHONE: elotic system: UIC$ <br /> Ray von Flue (209)468-9848 [1 Serves>90 people/day <br /> RECEIVED BY: _- ❑Receives other than sanitary waste <br /> -TfftE— E <br /> Other dispRHI methods: <br /> [I D D:welistFrench Drains <br /> EHD 23-02-002 Pagel <br /> 3113/2008 <br />