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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.om/ehd/unitiii.htmi <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: inspection date: <br /> Qat* �J t S-I$-10 <br /> Facility address: UST 0/ <br /> 21' tel• w Product / • / • / <br /> Facility contact: Title: Phone: <br /> � 1 j� a t <br /> Monitoring pan6F Pips system: Overfill prevention: violations: <br /> aressufted 0 Suction 0 Gravity 94edmanical 0 Mt-RDeted 0 M2-RPrev D M-3 Both <br /> ?j5'� 0 AudbieWual <br /> Inspection type: Dessiignated operator. ICC exp.date: <br /> ltt t'ttoutine 04onitoring Certification 0 Installation a Other2 t in /l <br /> On site Service Technician's name: ICC exp.date <br /> : ManuJ�► strait ntig� 1 % !f g jl j!f <br /> VIOLATIONS R <br /> # Code Section HSC=CA Health&Safe Code;CCR--CA Code of Regulations,V=Violation RV=Re eat Violation V V <br /> 1 HSC 25284 No permit too rate <br /> Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test <br /> 2 CCR 2637 notification not provided to the Environmental Health Department(EHD)at least 48 hours prior to <br /> conducting the test <br /> 3 CCR 2711 b & c Current Unified Program Consolidated Forts not on file with the EHD Fad and tank form <br /> 4 HSG 25292.2 Current financial res onsibili documents not on file with the EHD <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plans is not current or approved by the EHD <br /> 6 CCR 2712Q) Monitorin and/or response an is not onsite <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6% tart► <br /> years,written performance claims pertaining to release detection systems for 5 years,or records of <br /> repairs,linings,and upgrades for the life of the tank. Monitoring records include:(1)date and time of t <br /> 7 CCR 2712(b) all monitoring or sampling;(2)monitoring equipment calibration and maintenance records;(3)results V <br /> of any visual observations;(4)results of sample analysis performed a lab or in the field;(5)logs of all <br /> readings of gauges or other monitoring equipment,ground water elevations,or other test results,(6) <br /> results of inventory readings and reconciliations <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-January1 1984 not rmed eft <br /> 9 HSC 25292.1 UST system is not operated to prevent unauthorized release,including spills and overfills <br /> 10 CCR 2632(c)(2) Monitoring system is not present In the interst lliai space of a double walled UST/piping (M1 <br /> 11 CCR 2630 UST monitoring equipment is not installed or maintained to detect a leak at tate earliest o rtun' t <br /> 12 HSC 25291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (1411) <br /> containment <br /> 13 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (M1) <br /> an audible and visual alarm or stops flow of product at the dispenser when it detects a leak <br /> 14 CCR 2631 a Prima containment is not product tight <br /> 15 HSC 25291 a 2 Secondary containment for UST s tem is not tight <br /> 16 CCR 2636(c)(1) All releases in secondary pipingdo not flow to a collection sum <br /> 17 CCR 2636(Q(2) Line leak detector(s) not installed or failed to detect a3-gallon per hour leak at 10 psi Net <br /> 18 CCR 2635(b)(1) Spill container not installed,failed to contain a minimum capacity of five gallons,or failed to (112) <br /> rovide a means to ke2p the spill container emoty <br /> 19 CCR 2635(b)(2) Overfill prevention system was o4drridden or failed to meet overfill requirements in this section RM <br /> 20 CCR 26Ma) Failed to have secondary containment for piping(Includes conventional suction piping) 2 <br /> 21 HSC 25291 a Water In 20 containment not removed,analyzed& rodisposed of <br /> Unauthorized release that.(c)did not escape secondary containment and cleaned up within eight (tal) <br /> 22 CCR 2650 hours was not recorded;(s)escaped secondary containment,not cleaned up after eight hours,or a <br /> sudden loss of piroduct was not reed to the EHD within 24 hours <br /> 23a CCR 271 5 a Failed to inform the EHD of a 2LmMe of designated operator within 30 days <br /> 23b CCR 2715(b) Desiggated opntor did not possess a current ICC UST System Operator certification <br /> EMD inspector. Received tsy: Title: <br /> EHD 1 Q age UST OFFICIAL INSPECTION REPORT <br />