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SAN JOAQUIN COUNTY <br /> v,NVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,California 95202-3029 <br /> Telephone. (209)468-3420.pax:(209)468-3433 Web:www sjg4v_. r [ghd <br /> UNDERGROUND STORAGE T tNlz US PROGRAM INSPECTION REPORT <br /> Facility name: Designated Operator: Inspection Date: <br /> Al 1�kv if I pilb q1 10a <br /> Fac iitty dre 7- <br /> 5Cif t <br /> ' Prodact 1 <br /> Fada et t: line: Phone: <br /> tMW <br /> o itor It Pping system: � �r@]t ptvmention: <br /> Irl I'MS116YA-11 11 Suction i (irtvit�_ rJ Mochat(ical _ 0 Audibldvisual _ <br /> eM�n ty � / v ----- Violations: <br /> i otwa Manitoiin Ceaiification Ij hwallation 0Other 0 MI-RDctmt 0 M-)-RPrev 0 M-3 Both <br /> V OLATI IiSC--C�tlifon)is Health&Safrty Code;CCR=Califomin Code of Regulations V R <br /> # Code Section <br /> V-�Violation;RV--Repeat Violation V <br /> 1 HSC 25284 Praanit <br /> 2 CCR 2637 Secoxlall containment test j erforme(1 <br /> 3 CCR 2711 (b)&(c) Current Unified Pro rra n Consolidated Cones on file with END(Facility and tank form <br /> 4 HSC 25292.2 Cet1ification of tilnancial re nsibilit�an(1 CCO lett(x _ <br /> 5 CCR 2632(b) Monitonng t, Lo rdm(Monitoring&Res onse Plan)is current and appmed bX the local a c . <br /> 6 CCR 2712 i h4onitorin )Ian is w)sitc. <br /> 7� CCR 2712 b) Nfaintenance&monitmi_n rg records Ml <br /> 8 CCR 2643 ^ Dail moi notnito)ivng of suction I i inY(pre-January,1,1984 <br /> 9 HSC 25292.1 US•r system is operated to prevent unauthorised release <br /> 10 CCR 2632 c)(2) UST monitor;syste)n is prcment Oil <br /> I 1 CCR 2630(d)_.UST sy em nwnitoring equipment is properly located to detect a leak NO <br /> 12 HSC 25291 b) UST system monitoring equil t is STWBona: M2 <br /> 13 CCR 2636 t 1 Continuous monitoring s . em for undergroundP!p ng&UDC is t 1 <br /> t4 CCR 2631 a 10inar containment is pmducx ti in <br /> 15 HSC 25291(a 2 Seco!ldall contaimilent for UST is ti�h� t <br /> 16 CCR 2636 e)(I) All releases to seca_ndmy piping flow to a collection nen <br /> 17 HSC 25291 Line leak detector(s)are installed_ 1 <br /> 18 CCR 2635(b)(1) Spill container Z <br /> 19 CCR 2635 2) Overfill pmvmtion system _ M2 <br /> 20 CCR 2636(u) _ConvcntianFll 51lClaan 7t ti)ii] ag itnl{have continuous monitodn &2°containment Amill <br /> 21 i-ISC 25291(c) r Water in 2*containment analyzed&properly dis osed of <br /> 22 CCR 26.50 Recordin repotting of unauthoriml releases M1 <br /> 23 CCR 2715 Dorsi hated Operator(a)Statement from UST owns; c-e Monthly ins ion• f}EtnployE training <br /> 24 CCR 2638(a) Ammul m(n)itort�certiftcation — <br /> 25 CCR 2638(a) Annual line leak detwor test MI <br /> 26 HSC 25284.2 Annumill contaimneat testis <br /> 27 CCR 2636 f)(4) Annual line tightness test MI <br /> 28 OCR 2661 1 Repair for tank/pipii�as had tightness test 2 <br /> 29 CCR 2643 c) _ Biennial tightness test ofrarav_it i)ing re-Jatnua 1,1984 <br /> 30 CCR 264.3(d) Triennial line rest for conventional suction liping(ES:January1 1984 M1 <br /> 31 HSC 251.92_.5 Doable wall system Imted within 1000'of public well-ELD <br /> 32 MR.2661 Pcln)it to repair UST system <br /> 33 HSC 25286 a Pa)nit to alta-monitorings sty can <br /> 34 HSC 25298 b P_ennit to tonnoru•ily close USI'system <br /> 35 HSC 25298 c) Pennit to close UST.sem <br /> 36 HSC 25299(a)(9) Disabling leak detection devices <br /> 37 HSC 25298(a) Illegal abandonment of UsT syste(n <br /> 38 Other. <br /> REQ INSPECTOR: �•����� PHONE; UIC <br /> do systwri: <br /> Selves 220 pwpldday <br /> R E1V Bl TITLE: i7Reedvcsothcrthan sanilmywaste <br /> f��N C/,r 5,- other <br /> disggW mW"-. <br /> N7 weiWFrntch Drains <br /> EHD 23-024M REV 05/07 <br />