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P C HEALTH SERVICES SAN JOAQ COUNTY DATE 3 Of <br />PR# 2.31'f 10 <br />ENVIRONMENTAL" HEALTH DIVISION PAGE _ <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Name -f komg_ Qi 1 Zia;.- 'c. Facility Address 3t5' h1. 13eck i Loci.;, <br />Facilty Contact 1Z h or W_ r"4 'itle ® Phone # 3[a8 -C®l175 <br />UST# t Product nits UST# 2 Product Diesel UST#Product UL. UST#Product <br />Overfill Prevention: Audible/Visual h Monitoring Panel: l e. e_ tqtr�.r�t- <br />Piping System: Gravity Suction Violations: P <br />j1[§jNMajor <br />Automatic Pump Shut Down Satisfies CCR 2636 (g): Yes No Dispenser Pan: Yes o <br />INSPECTION TYPE:outi onitoring Certification Complaint Install Removal Repair/Upgrade <br />COMPANY NAME: TECHNICIAN NAME: A I LAI 112oCnPHONE: % <br />VIOLATION(S) <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 <br />HSC 25284 <br />Permit to operate <br />19_,,�'CCR 2712 (i) <br />Monitoring & response plan <br />2 <br />CCR 2637 <br />Secondary cont testing (6 <br />is on site <br />month/36 month) <br />20 CCR 2712 (b) <br />Maintenance & monitoring <br />3 CCR 2711(b) & (c) <br />4=HSC 25292.2 <br />Current State Forms A & B <br />Certification of financial <br />21 CCR 2636 (f)(4) <br />records <br />Annual line tightness test <br />responsibility and letter from <br />22 CCR 2630 (d) <br />Annual line leak detector test <br />chief financial officer <br />23 CCR 2630 (d) <br />Annual monitoring <br />5 <br />CCR 2630 (d) <br />Continuous monitoring <br />certification <br />system for UST system <br />24 CCR 2643 (d) <br />Daily monitoring of suction <br />6 <br />CCR 2636 (c)(1) <br />All releases in secondary <br />piping that is not <br />piping flow to a collection <br />continuously monitored <br />sump <br />25 CCR 2643 (d) <br />Triennial tightness test of <br />7 <br />HSC 25291 (e) <br />Water in secondary (20) cont <br />suction piping that is not <br />8= <br />HSC 25291 (f) <br />Automatic line leak <br />continuously monitored <br />detector(s) <br />215—CCR 2643 (e) <br />Biennial tightness test of <br />9 <br />CCR 2636 (f)(1) <br />Continuous monitoring <br />gravity piping that is not <br />system for underground <br />continuously monitored <br />piping <br />27 CCR 2662 <br />Upgrade requirements for <br />10 <br />CCR 2632 (c)(2) <br />Continuous monitoring <br />UST system <br />system for UST <br />28 CCR 2661 <br />Permit to repair UST system <br />11 <br />HSC 25291(a)(2) <br />Secondary containment for <br />29 HSC 25286 (a) <br />Permit to alter monitoring <br />UST is tight <br />system <br />12 <br />CCR 2636 (f)(1) <br />Continuous monitoring <br />30 HSC 25298 (a) <br />Illegal abandonment of UST <br />system for dispenser system <br />system <br />13 <br />CCR 2635 (b)(1) <br />Spill container <br />31 NSC 25298 (b) <br />Permit to temporarily close <br />14 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />UST system <br />15 <br />CCR 2631 (a) <br />Primary containment is <br />product -tight <br />32 HSC 25298 (c) <br />33;'HSC 25291 (e) <br />Permit to close UST system <br />Water in 20 cont analyzed <br />16 <br />HSC 25292.1 <br />UST system is operated to <br />and properly disposed of <br />prevent unauthorized release <br />34 CCR 2640 (e) <br />Single wall component within <br />17_ <br />CCR 2650 <br />Recording/reporting <br />1000' of Public Well,00 ELD <br />unauthorized release <br />Monitoring & <br />36 CCR 2635(a)(2)(A) Cathodic protection testing <br />35—Z— Violation(s) not listed above <br />18 <br />VZ CCR 2632 (d) <br />response plan <br />8 <br />EHD INSPECTOR: K LPHONE: <br />8 —3 <br />RECEIVED BY: MA <br />TITLE: <br />PHONE: <br />UNITIIVUSUNSP (rev 12/19/01) <br />