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SAN JOAQUIN COUNTY <br />*ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />V,wi V- .Sery ,n ��� <br />Designated Operator: <br />QYom. <br />Inspection Date: <br />Facility address: <br />251D S <br />9 V< -'Product <br />UST # <br />/� r► � <br />0 <br />�*, <br />Facility Contact: Title: Phon <br />s P<*j Alp Mid OV.M— BI -7 1 <br />Monitoring Panel: <br />Piping system: <br />❑ Pressurized ❑ Suction ❑ Gravity <br />Overfill prevention: <br />❑ Mechanical ❑ Audible/visual <br />Inspection type: <br />Routine ❑ Monitoring <br />Certification ❑ Installation G Other: <br />Violations: <br />❑ M1-RDetect ❑ M2-RPrev ❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=California Code of Regulations V R <br />V=Violation; RV=Re eat Violation V <br />I <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 />1 HSC 25292.2 <br />Certification of financial responsibility and 'CFO 'letter <br />5 <br />CCR 2632 c 2 D <br />Monitoring & response plan is current and filed with the local agency <br />6 <br />CCR 2712 i <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />Ml <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 (cX2) <br />UST monitoring system is present <br />Ml <br />11 <br />CCR 2630 d <br />UST system monitoring equipment is properly located to detect a leak <br />M1 <br />12 <br />HSC 25291 <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 />Ml <br />14 <br />CCR 2631 (a) <br />Primary containment is product tight <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 piping flow to a collection 'sump <br />17 <br />HSC 25291 <br />Line leak detectors are installed <br />Ml <br />118 <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 />Ml <br />23 <br />1 CCR 2715 <br />DesignatedOperator: (a) Statement from UST owner; -e Monthly ins ectio <br />Employee training <br />24 <br />CCR 2638 a <br />Annual monitoring certification <br />25 <br />CCR 2638 a <br />Annual line leak detector test <br />Ml <br />26 <br />HSC 25284.2 <br />Annual spill containmenttestin - <br />27 <br />CCR 2636 4 <br />Annual line tightness test <br />Ml <br />28 <br />CCR 2661 <br />Repair for tank/piping has had tightness test <br />(M2 <br />29 <br />CCR 2643 a <br />Biennial tightness test of gravity piping(pre-January 1, 1984 <br />30 <br />CCR 2643 d <br />Triennial line test for conventional suction piping (pre -January 1, 1984) <br />(Mi) <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 <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9)- <br />Disabling leak detection devices <br />37 <br />HSC 25298 a) <br />Ille al abandonment of UST system <br />38 <br />Other: <br />EHD INECTOR: <br />''�A��,,l�i((ff � f <br />PHONE:- <br />[[``JJ � <br />TITLE: w <br />UIC <br />Septic system: <br />1 Serves >_20 people/day <br />Receives other than sanitary waste <br />Other disposal methods: <br />Dry wells/French ]rains <br />RECEIVED BY: <br />EHD 23-02-002 <br />