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v .. <br />„tis �yae , ffr"ah . , . r .., s rA,, <br />1 <br />°P' �o • SAN JOAQUIN COUNTY <br />•• G <br />y ENVIRONMENTAL HEALTH DEPART@AENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />.a Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />"qG/FORS <br />TTXT'n1V1D!1_Dd-%1TW l Crrni2 AV -IF TANW aTgT1 PRnf RAM IMSPECTION REPORT <br />Facility name: <br />Designated Opera�t tr: <br />v rE <br />Inspection Date: <br />} Sli1U <br />t sib P-���� <br />g I Z 07 <br />Facility address: <br />UST # <br />.' <br />Product <br />OU(SE A-VENUT <br />Facility Contact: <br />Title: Phone: <br />�,, <br />11 NDN S I N./n N �zACNc�=tsE phi �.3�t- Z <br />` <br />Monitoring Panel: <br />Piping system: Overfill prevention: <br />L G ►er <br />@Aessurized 11 Suction ❑ Gravi Ci�,l�eehanical ❑ Audible/visual <br />Inspection type:. <br />100utine -"onitoring <br />_ Violations: <br />Certification ❑ Installation ❑ Other: ❑ MI-RDetect - ❑ M2-R,l'iev - ❑ M 3 Both, <br />VIOLATIONS) HSC =California Health & Safety Code; CCR=California Code of Regulations V V,t <br /># <br />Code Section , <br />V=Violation; RV=Re eat Violation <br />1 <br />HSC 25284 <br />erate <br />Permit to operate <br />2 <br />CCR 2637_ ,_ <br />Secondary containment test erformed <br />3 <br />CCR 2711 & c <br />Current Unified Program Consolidated Fortns on file'yvA'EHD(Facility and tank form <br />4 <br />HSC 25292.2,.:: <br />jCerhiation of fihancial:rpsponsibility and CFO letter <br />' <br />5 <br />CCR 2632c) 2 D <br />Monitoring & responseplan is current and filed with the local a enc . . <br />6 <br />CCR 2712 .i <br />Monitoring & response plan,is onsite <br />7 <br />CCR 2712. ,; <br />Maintenance & monitain "records (M3 <br />8 , <br />CCR 2041(d):., %--'bail nitoring of suction piping (prq-January, 1, 1984 <br />9 <br />HSC 2x5292,1 ' ,. <br />UST's ,stem iso erated to.prevent unauthorized release '- <br />10 <br />CCR 2632' e 2 <br />UST monitoring system is present 1 <br />I I <br />CCR 2630 (d) <br />UST system monitoring equipment is. ro erl located to detect a leak (MI) <br />HSC 25291 <br />UST system monitoringequipment is operational 2 <br />CCR 2636 1 <br />Continuous monitoringsystem for underground. i in & UDC is resent M1 <br />CCR 2631` a <br />Pricontainment is. product tight <br />HSC 25291 (a)(2) <br />Second fgptainment for UST is tight <br />CCR 2636 c 1 <br />All releases in second piping flow to a: collection sum <br />F20 <br />HSG 25291 <br />Line leak detectors are installed Ml <br />CCR 2635 1 <br />Spill container <br />CCR, 2635 2 <br />Overf ll, revention system M2) i <br />CR -2636 (a) <br />Conventional suction i in shall have continuous monitorin & 2° containmentHSC <br />25291 (6T- <br />in 20 containment analyzed & rolierl dis° osed of <br />22 <br />-,Water <br />CCR 2650 <br />Recor- re o tln of unauthorized releases MI <br />23 <br />CR 2715,D„essl <br />, t 61rat�ra (a `taxeent from UST ouvttel x c'o :lViontlil Inspectton;: ;Em lo' ee trainiii <br />2-4 <br />CCR 2638' a <br />Annual: monitorin cert f cation <br />25 ' <br />- CCR 2638 a <br />,Annual line leak detector test (Mi) ` <br />26 <br />'HSC 25284.2 - <br />Annuals i, containment testing <br />, <br />27 <br />CCR2636 (f)(4) <br />Annual line.ti htness test (MI) F <br />28 ` <br />CCR 2661 <br />,.- <br />Re air for tank/ x tri has had ti mess test <br />29, <br />CCR 2643 a <br />Biennial tihtnEss test of av tin 're-Janu 1, 1984 <br />30 - <br />CCR°2643 d <br />Trienniahline test for conventional suction i in' re=Janu 1,'1984 Ml <br />31 <br />HSC 25292.5 <br />Double wall s stem.lo,” , d within 1000'; of public well-ELD <br />32 ' <br />` -CCR 266,1 <br />Permit to repair UST s` .stem <br />33 <br />HSC 23286 (a)Perinitto <br />alter monttoiin s stein <br />34 <br />HSC 2529,8 <br />Tern itto tem orartTy close;UST system a <br />35 <br />HSC 25298 c; ; <br />Permit t0 close UST s stem <br />36 <br />HSC 25299 (a)(9) <br />Disablm leak detection devices' <br />37 <br />HSC 25298_ <br />Ille a1 abapdonnertt of LIST s stem <br />38 <br />Other: <br />PHONE: UIC <br />EHD INSPECTOR: <br />t r C� r Smu&,system: <br />` <br />*'i tT 0 ❑ Serves >_20 people/day. <br />RECEIVED BY:'+ <br />TITLE: ❑Receives other than -sanitary waste w <br />Other disposal methods: <br />ns <br />❑ Dry wells/Rge ch Drains <br />23-02 - <br />