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Facility Name <br />DATES�a3 <br />SAN JOAQUIN COUNTY PR# <br />ENVIRONMENTAL HEALTH DEPARTMOWT PAGE <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 Z 26 7 <br />(209) 468-3420 <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />ility Address W <br />Facilty Contact Title QarAe-�,. Phone #Q <br />UST# I Product UST# 2 6�roduct uJ UST# 3 Product &,. <br />--,1.1UST# Pro"du"ct _ <br />Overfill Prevention: ❑ Audible/Visual [�Mechanicaleflj Monitoring Panel: <br />Piping System: ❑ Gravity (a.Kressure ❑ Suction Violations:fM i or ❑ Major <br />Automatic Pump Shut Down Satisfies CCR 2636 (g): ❑ Yes *1 Jho Dispenser Pan: ; es ❑ No <br />INSPECTION TYPE: ❑Routine ❑Monitoring Certification ❑Complaint ❑Install ❑Removal ❑Repair/Upgrade <br />COMPANY NAME: <br />TECHNICIAN NAME: <br />VIOLATION(S) <br />PHONE: <br />The above facility is not in compliance with the following section(s) of Health & Safety Code (HSC) and/or <br />California Code of Regulations (CCR): <br />1 HSC 25284 Permit to operate 20_ZCCR 2712 (b) 43iintenanc & monitoring <br />2 CCR 2637 Secondary cont testing (6 records <br />4 <br />month/36 month) 21CR 2636 (f)(4) Annual line tightness test <br />_CCR 2711(b) & (c) Current State Forms A & B 22 CCR 2630 (d) Annual line leak detector test <br />_HSC 25292.2 Certification of financial 23=CCR 2630 (d) Annual monitoring certification <br />responsibility and letter from 24 CCR 2643 (d) Daily monitoring of suction <br />5 <br />CCR 2630 (d) <br />6 <br />CCR 2636 (c)(1) <br />7 <br />HSC 25291 (e) <br />8 <br />HSC 25291 (f) <br />9 <br />CCR 2636 (f)(1) <br />10 <br />CCR 2632 (c)(2) <br />11 <br />HSC 25291(a)(2) <br />12 <br />CCR 2636 (f)(1) <br />13 <br />CCR 2635 (b)(1) <br />14 <br />CCR 2635 (b)(2) <br />15 <br />CCR 2631 (a) <br />• 16 <br />HSC 25292.1 <br />17 <br />CCR 2650 <br />18 <br />CCR 2632 (d) <br />19 <br />CCR 2712 (i) <br />28 <br />CCR 2661 <br />Permit to repair UST system <br />29 <br />EHD INSPECTOR: <br />Permit to alter monitoring <br />RECEIVED BY: <br />UNMIWSTANSP (rev 7/24/02) <br />chief financial officer <br />Continuous monitoring system <br />for UST system <br />All releases in secondary piping <br />flow to a collection sump <br />Water in secondary (20) cont <br />Automatic line leak detector(s) <br />Continuous monitoring system <br />for underground piping <br />Continuous monitoring system <br />for UST <br />Secondary containment for <br />UST is tight <br />Continuous monitoring system <br />for dispenser system <br />Spill container <br />Overfill prevention system <br />Primary containment is product - <br />tight <br />UST system is operated to <br />prevent unauthorized release <br />Recording/reporting <br />unauthorized release <br />Monitoring & response plan <br />Monitoring & response plan is <br />on site <br />PHONE: Zoq V"- Tu r -l0' <br />piping that is not continuously <br />monitored <br />25 <br />CCR 2636 (a) <br />Conventional suction piping <br />shall have continuous <br />monitoring & 20 containment <br />26 <br />CCR 2643 (e) <br />Biennial tightness test of gravity <br />piping that is not continuously <br />monitored <br />27 <br />CCR 2662 <br />Upgrade requirements for UST <br />system <br />28 <br />CCR 2661 <br />Permit to repair UST system <br />29 <br />HSC 25286 (a) <br />Permit to alter monitoring <br />system <br />30 <br />HSC 25298 (a) <br />Illegal abandonment of UST <br />system <br />31 <br />HSC 25298 (b) <br />Permit to temporarily close UST <br />system <br />32 <br />HSC 25298 (c) <br />Permit to close UST system <br />33 <br />HSC 25291 (e) <br />Water in 211 cont analyzed and <br />properly disposed of <br />34 <br />CCR 2640 (e) <br />Single wall component within <br />1000' of Public Well, no ELD <br />35 <br />CCR 2635(a)(2)(A) Cathodic protection testing <br />36 <br />H&SC 25299(a)(9) <br />Disabling leak detect. devices <br />37 <br />Violation(s) not listed above <br />PHONE: Zoq V"- Tu r -l0' <br />