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0 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.html <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility name: <br />Inspection date: <br />� ifi <br />(a--01-Wl0 <br />s <br />Facility address: <br />UST # / <br />LqqV - -Pi_ cco W , <br />Product <br />- <br />N ( cS+t <br />Facility contact: Title: Phone: <br />J -a[4 4,e, q�31 q 4 �T'u t95�0 <br />Monitoring panel: <br />r1ping system: <br />O erfill prevention: <br />Violations: <br />��r�� ?j <br />pressurized ❑ Suction ❑ Gravity <br />echanical <br />Audible/visual <br />❑ M1-RDetect [IM2-RPrev ❑ W -Both <br />l� <br />❑ <br />,In/spection type: <br />Routine Monitoring Certification ❑ Installation ❑ Other: <br />Designat d operator: ICC exp. date: <br />1'puz 6���i <br />[[[ " /- <br />On site Servi Technician's name: ICC exp. date: <br />Manufacturer's training: <br />Ns& Ces PIISIZ, <br />ywl °Lib 111012- Vf, W 11 15-11 <br /># <br />Code Section <br />4 <br />VIOLATIONS <br />V <br />HSC=CA Health & Safe Code; CCR=CA Code 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 to the Environmental Health Department (EHD) at least 48 hours prior to <br />conducting the test R <br />3 <br />CCR 2711 b <br />Current Unified Program 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 <br />5 <br />CCR 2632(b) <br />Monitoring Program(Monitoring & Response Plans is not current or approved by the EHD <br />6 <br />CCR 2712(i) <br />Monitoring Ian, response plan, and/oroperating permit and all conditions not onsite <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'h (M1) <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 (M1) <br />11 <br />CCR 2630(d) <br />UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity M1 <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 pipingdo not flow to a collection sum <br />17 <br />CCR 2636 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 failed to contain a minimum capacity of five gallons, or failed to provide a means (M2) <br />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 20 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 />1 CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />23b <br />I CCR 2715(b) <br />Designated operator did not possess a current ICC UST System Operator certification <br />EHD inspector: <br />Received by: <br />Title: <br />a14�A,� <br /><:?� L(.�A <br />1 I <br />N�' <br />EHD 23-02-002 REV O(M8/10 ( / t',Age 1 UST INSPECTION REPORT <br />