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0 SAN JOAQUIN COUNTY 9 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s1 og v.or / <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />�Dje(,siignated Opera 1 <br />W 1 Tj l�Ct7C / <br />Inspection Date: <br />1-2-17 ' <br />Facility address: <br />t � ►/� r ti <br />UST <br />� Product <br />/L <br />✓ <br />Facility Contact: <br />�om "b - <br />Title: Phone: <br />WA --4 <br />, <br />Monitoring Panel <br />U75Sbressurized <br />Pi ing system: <br />❑ Suction ❑ Gravity <br />Overfill prevention: <br />echanical ❑ Audible/visual <br />Inspection type: <br />Routine Monitorin <br />Certification ❑ Installation 11Other: <br />rViolations: <br />I-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b) & c <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 b <br />Monitoring Program(Monitoring & Response Plan) is current and approved by the local agency. <br />6 <br />1 CCR 2712 i) <br />Monitoring plan is onsite. <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />M1) <br />8 <br />CCR 2643 d) <br />Daily monitoring of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 c)(2) <br />UST monitoring system is present <br />(Ml) <br />I 1 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />M1) <br />12 <br />HSC 25291 b <br />UST system monitoring equipment isoperational <br />(M2) <br />13 <br />CCR 2636 1 <br />Continuous monitoring system for underground piping & UDC is present <br />(M1) <br />14 <br />CCR 2631 a) <br />Primary containment is product tight <br />Ile <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 <br />HSC 25291 <br />Line leak detectors are installed <br />M 1) <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2) <br />20 <br />CCR 2636 (a) <br />Conventional suction piping shall have continuous monitoring & 2° containment <br />21 <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />(M1) <br />23 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthly ins ection; tl m to ee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 a) <br />Annual line leak detector test <br />(M 1) <br />26 <br />HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(M1) <br />28 <br />CCR 2661 f) <br />Repair for tank/piping has had tightness test <br />(M2) <br />29 <br />CCR 2643 e <br />Biennial tightness test ofgravity piping (pre -January 1, 1984 <br />30 <br />CCR 2643 d) <br />Triennial line test for conventional suction piping (pre -January 1, 1984) <br />(M1) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' ofpublic well-ELD <br />32 <br />CCR 2661 <br />Permit to repair UST system <br />33 <br />HSC 25286 a <br />Permit to alter monitoring system <br />34 <br />HSC 25298 b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 c) <br />Permit to close UST system <br />36 <br />1 HSC 25299 (a)(9) <br />Disabling leak detection devices <br />37 <br />HSC 25298 a) <br />Illegal abandonment of UST system <br />31 <br />Other: <br />E <br />DLV <br />E R: <br />PHONE: <br />�" �_ <br />O'er <br />Ulr <br />Septic system: <br />- Serves >_20 people/day <br />- Receives other than sanitary waste <br />Other disposal methods: <br />- Dry wells/French mains <br />ECEIVED BV: t <br />A <br />�; `� <br />TITLE: <br />^ r, <br />L <br />U <br />EHD 23-02-002 REV 05/07 <br />