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0 SAN JOAQUIN COUNTY 0 <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 <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> A , ----7 --1 <br /> 06 T-1 4-'c�l <br /> Facility address: UST# <br /> Product <br /> Faciliecontact:-- Title: Phone: <br /> iG7otu, <br /> 0 ring Panel: Piping system: Overfill prevention: <br /> El Pressurized Suction 0 Gravity 11 Mechanical udible/visual <br /> Inspection type: Violations: r <br /> N62 <br /> outine 22onitoring Certification El Installation D Other: 11 M I-RDetect El M2-RPrev 11 M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> # Code Section V=Violation;RV=RE2eat Violation — V I <br /> I HSC 25284 Permit too2erate <br /> 2 CCR 2637 SecondM containment test performed <br /> 3 CCR 2711 (b)&(c) Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br /> 4 HSC 25292.2 Certification of financial res2onsibility and CFO letter <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plan)is current and approved by the local agency. <br /> 6 CCR 2712(i) Monitoring plan is onsite. <br /> 7 CCR 2712 b) Maintenance&monitorinrecords (Ml� <br /> 8 CCR 2643(d) Daily monitoring of suction i in (pre-January, 1, 1984) <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitorinE system is present (M1) <br /> I I CCR 2630(d) UST system monitoring EqLi2ment is 2roj2erly located to detect a leak (M 1) <br /> 12 HSC 25291 b) UST system momtonine ui ment isoperational (M2) <br /> 13 CCR 2636(f)(1) Continuous monitoring system for underground 12i2ing&UDC is present Ml) <br /> 14 CCR 2631 (a) _ Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is tiht <br /> 16 CCR 2636(c)(1) All releases in secondaa piping flow to a collection sump <br /> 17 HSC 25291 Line leak detector(s)are installed (MI) <br /> 18 CCR 2635(b)(1) SEill container (M2) <br /> 19 CCR 2635(b)(2) Overfill prevention system (M2) <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&2'containment lid <br /> 21 HSC 25291 (e) Water in 2'containment analyzed&properIX diseosed of <br /> 22 CCR 2650 Recordina/�orting of unauthorized releases (M1) <br /> 23 CCR 2715 Designated Operator:(a)Statement from UST owner; (c-e)Monthly inspection;(t) Employee trainin� <br /> 24 CCR 2638(a) Annual monitoring certification <br /> 25 CCR 2638(a) Annual line leak detector test (M1) <br /> 26 HSC 25284.2 Annual s2ill containment testing <br /> 27 1 CCR 2636 4) Annual line tightness test (M1) <br /> 28 CCR 2661 (f) I in has had tiEhtness test (M2) <br /> 29 CCR 2643(eBiennial tightness test of gravity piping(pre-January 1, 1984) <br /> 30 CCR 2643(d) Triennial line test for conventional suction piping(pre-January 1, 1984) (M 1) <br /> 31 HSC 25292.5 Double wall system located within 1000'of 2ublic well-ELD <br /> 32 CCR 2661 Permit to re air UST system <br /> 33 1 HSC 25286(a) Permit to alter monitoring system <br /> 34 HSC 25298(b) Permit to temporarily close UST system <br /> 35 HSC 25298(c) Permit to close UST system <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298 a) Illegal abandonment of UST system <br /> 38 Other: <br /> EHD INSPEC70PHONE: UIC <br /> Sotic systesystem: <br /> -Serves�!20 people/day <br /> RECY.IVED lly,0- TITLE: -Receives other than sanitary waste <br /> Other disposal methods: <br /> Dry-ells/F�rench Drains <br /> EHD 23-02-002 REV 05/07 <br />