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0 SAN JOAQUIN COUNTY 46, <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s*gov.org/ehd/unitiii.html <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Inspection date: <br />&M4V14MoV'rk 3'S <br />1 <br />Facility address: UST # / <br />Product <br />J 5 -mss-{- �- l;r/ <br />Facility cor�t: Title: Phone: <br />)Lae, <br />Monitoring panel: Piping system: Ove ill pr ti n: Violations: <br />02- T L.6 Z C20 'Pressurized ❑ Suction 1:1 Gravity ,echanical , 1-RDetect ❑ M2-RPrev ❑ M-3 Both <br />Audible/visual <br />t ❑ <br />Inspection type: <br />Designated operator: ICC exp. date: <br />Routine Monitoring Certification ❑ Installation ❑ Other: <br />A &V— (0V <br />On site Service Technician's name: ,hex t <br />Manufacturer's training: � iq„ I <br />txw <br />ZOOM I <br />I <br /># <br />[ -— <br />Code S- ection <br />r -I <br />V <br />HSC=CA Health & SafetyCode; CCR=CA CI de4ofl Regulations; V=Violation; RV=Re eat Violation <br />V <br />1 <br />HSC 25284 <br />No permit tooperate <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test <br />2 <br />CCR 2637 <br />notification not provided tot a Environmental Health Department (EHD) at least 48 hours prior to <br />conducting the test 14 10 <br />3 <br />CCR 2711 b) & c <br />Current Unified Pro r m Consolidated Forms not on file with the EHD(Facility and tank form <br />4 <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the EHD 12.1 0QC( .: <br />5 <br />CCR 2632(b) • <br />Monitoring Program(Monitoring & Response Plans is not current or approvbd by the EHD <br />6 <br />CCR 2712(i) <br />Monitoring and/or response plan is not onsite <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'/z (MI) <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 <br />7 <br />CCR 2712(b) <br />all monitoring or sampling; (2) monitoring equipment calibration and maintenance records; (3) results <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 <br />CCR 2643(d) <br />Daily monitoring of suction piping (pre-January1, 1984 not performed (M1) <br />9 <br />HSC 25292.1 <br />UST system is not operated to prevent unauthorized release, including spills and overfills <br />10 <br />CCR 2632(c)(2) <br />Monitoring system is not present in the interstitials ace of a double walled UST/piping (M1) <br />11 <br />CCR 2630(d) <br />UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity(mi) <br />12 <br />HSC 25291(b) <br />UST monitoring system incapable of detecting leak from primary containment into secondary (M1) <br />containment <br />13 <br />CCR 2636(f)(1) <br />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 <br />CCR 2631 a <br />Primary containment is not product tight <br />15 <br />HSC 25291(a)(2) <br />Secondary containment for UST system is not tight <br />16 <br />CCR 2636(c)(1) <br />All releases in secondary piping do not flow to a collection sum <br />17 <br />CCR 2636(f)(2) <br />Line leak detectors not installed or failed to detect a 3 -gallon per hour leak at 10 psi (M1) <br />18 <br />CCR 2635(b)(1) <br />Spill container not installed, failed to contain a minimum capacity of five gallons, or failed to (M2) <br />rovide a means to keep the spill container empty <br />19 <br />CCR 2635(b)(2) <br />Overfill prevention system was overridden or failed to meet overfill requirements in this section (M2) <br />20 <br />CCR 2636(a) <br />Failed to have secondary containment for piping (includes conventional suction piping) (M2) <br />21 <br />HSC 25291(e) <br />Water in 21 containment not removed, analyzed & properly disposed of <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight (M1) <br />22 <br />CCR 2650 <br />hours was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a <br />sudden loss of product was not reported to the EHD within 24 hours <br />23a <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />23b <br />CCR 2715(b) <br />Designated operator did not possess a current ICC UST S stem Operator certification <br />EHD inspector: Received by: <br />Title: <br />;A <br />A <br />�v <br />EHD 23-02-002 REV 04/08/10 Page 1 UST OFFICIAL INSPECTION REPORT <br />