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. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �. 304 East Weber Avenue,3`d Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj og v.or <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: inspection Date: <br /> Ako SJU A� d R.&A -8-off <br /> Facility address: UST# ��a I <br /> (j W Product (� 8-7 <br /> Facility Contact, <br /> Title: Phone: <br /> Monitoring Panel: � PPipi�system: Overfill prevention: <br /> tj 7" 3Jt� Pfressurized ❑Suction ❑Gravity ❑Mechanicaludible/visual <br /> 7n type. Violations: <br /> ine Monitorin Certification ❑Installation ❑Other: ❑Ml-RDetect ❑M2-RPrev ❑M-3 Both <br /> VIOLATION(S) HSC=California Health&Safety Code;CCR=California Code of Regulations V R <br /> # Code Section V <br /> V=Violation;RV=Re eat Violation <br /> 1 HSC 25284 Permit tooperate <br /> 2 CCR 2637 Secondary containment test performed <br /> 3 CCR 2711 6 & c Current Unified Program Consolidated Forms on file with EHD(Facility and tank form <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 c 2 D Monitoring&response plan is current and filed with the local agency <br /> 6 CCR 2712 i Monitoring&response plan is onsite <br /> 7 CCR 2712 amtenance& onitorin records = Ml <br /> 8 CCR 2643 d Daily monitoring of suction piping(pre-January,'1, 1984 <br /> 9 HSC 25292.1 UST system is operated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present Ml <br /> 1 I CCR 2630 d UST system monitoring equipment is properly located to detect a leak M1 <br /> 12 HSC 25291T s=stem monitoring equi2Tent is operational M2 <br /> 13 CCR 2636 1 Continuous monitoring-system for underground piping&UDC is present M1 <br /> 14 CCR 2631 a Primary containment is product tight <br /> 15 HSC 25291 (a)(2) Seconda containment for UST is tight <br /> 16CCR 2636(c)(1) All releases in secondary pipingflow to a collection sum <br /> 17 HSC 25291 Line leak detectors are installed Ml <br /> 18 CCR 2635(b)(1) Spill 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 <br /> 21 HSC 25291 (e) Water in 2°containment analyzed&properly disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases MI <br /> 23 CCR 2715 DesignatedOperator:(a)Statement from UST owner; (c-e) onthl ins ection, Employee training <br /> 24 r CCR 2638 a Annual monitoring certification <br /> 25 CCR 2638 a Annual line leak detector test Ml <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> 27 CCR 2636 4 Annual line tightness test Ml <br /> 28 CCR 2661 Repair for tank/piping has had tightness test (M2 <br /> 29 CCR 2643 a Biennial tightness test of gravity pipingre-Januar 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January 1, 1984 Ml <br /> 31 HSC 25292.5 Double walls stem located within 1000'of public well-ELD <br /> 32 CCR 2661 Permit to repair UST system <br /> 33 HSC 25286 a Permit to alter monitoring system <br /> 34 HSC 25298 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 1 HSC 25298 a Illegal abandonment of UST system <br /> 38 1 Other: <br /> EHD iNSPE O PHONE: UIC <br /> qQ��( yd Septic system: <br /> Cjei C 6 �]Serves>_20 people/day <br /> REC V Y. TITLE: Receives other than sanitary waste <br /> A, a`^ a Other disposal methods: <br /> V ' Dry wells/French Drains <br /> EHD 23-02-002 <br />