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08/24/2004 16:34 2094683433 FIFTH FLOOR PAGE 05 <br /> SAR JOAQUIN COUNTY "'"'C I A, --""'y <br /> VNVqRONMENTAL HEALTH DEP TME T PR# - � <br /> PAGE / <br /> 304 E.Weber Ave.,Third Floor,Stockton, CA 95202 <br /> (209)468.3420 <br /> UNDERGROUND STORAGE TANK(UST).PROGRAM INSPECTION REPORT <br /> Facility Name otic Facility Address . .(?z <br /> Facilty Contact/r,<!I P TitleCom Phone# <br /> UST#! Product 6-7 UST#Product 8i UST#3 Product TV UST# Product <br /> Overfill Prevention: G Audible/Visual Odgrechanical Monitoring Panel: ,�c/" <br /> Piping System: 0 Gravity 3,Messure O Suction Violations:D M1-RDet O M2-Rpre Ov M3-13oth <br /> Automatic Pump Shut Down Satisfies CCR 2638 (5):GrYes O No Designated Operator <br /> INSPECTION TYPE: PRTLitlne Monitoring Certification OComplaint oinstall ORemoval ORe air/Upgrade <br /> COMPANY NAME: r TECHNICIAN NAME: PHONE: ?5-7 go32, <br /> VIOLATION(S) <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 23 CCR 2643(d) Daily monitoring of suction <br /> 2 CCR 2637 Secwndsry cont.testing piping(pre-1/1/84) <br /> 3 CCR 2711(b)&.(c) Current State Forms A&B 24 .... CCR 2636(a) Conventional suction piping <br /> 4 _ HSC 252922 Certification of financial shall have continuous <br /> responsibility&CFO letter monitoring&2'containment <br /> 6 CCR 2632 (c)(2) UST monitoring is present(M1) 25 CCR 2643.(e) Biennial tightness test of gravit; <br /> 8 CCR 2630(d) UST system monitoring piping(pre-1/1lsa) <br /> equipment is properly located to 26 CCR 2643•(4) Triennial line test for <br /> detect a leak(M1) conventional suction(pre- <br /> 7 CCR 2637(b) UST system monitoring 1/1/84)(M1) <br /> equipment is operational(M1) 27 CCR 2661 Permit to repair UST system <br /> 8 CCR 2636(f)(1) Continuous monitoring system 28 HSC 25286(a) Permit to alter monitoring <br /> for underground piping&UDC system <br /> Is present(M1) 29 HSC 25298(a) Illegal abandonment of UST <br /> 9 CCR 2638(c)(1) Ail releases In secondary piping system <br /> flow to a collection sump 30 HSC 25298(b) Permit to temporarily close US- <br /> 10 HSC 25291 (f} Line leak detector(s)(M1) system <br /> 11 HSC 25291(a)(2) Secondary containment for 31 HSC 25298(c) Permit to dose UST System <br /> UST is tight 32=HSC 25292.1 UST system is operated to <br /> 12 -CCR 2635(b)(1) Spill container(M2) prevent unauthorized release <br /> 13 HSC 25284.2 Annual spill container testing 33 CCR 2650 Recording/reporting <br /> 14 CCR 2635(bx2) Overfill prevention system(M2) unauthorized release(M1) <br /> 15 CCR 2631(a) Primary containment is product-¢ 34 HSC 25291 (e) Water in 2°cont analyzed and <br /> tight properly disposed of <br /> 16 /CCR 2632(d) Monitoring&response plan 35 CCR 2840(e) Single wall component within <br /> 17 CCR 2712(i) Monitoring&response plan is 1000'of Public Well, no ELD <br /> on site 30L0011 2635(a)(2)(A)Cathodic protection testing& <br /> 18_�CCR 2712(b) Maintenance&monitoring 60 day inspection log(M2) <br /> records(M1) 37 H&SC 26299(a)(9)Disabling leak detect.Devices <br /> 19 CCR 2636(f)(4) Annual line tightness test 38 CCR 2715(e) Statement from UST owner' <br /> 20 CCR 2630(d) Annual line leak detector test 38 CCR 2715(c) Monthly inspection by D.O, <br /> (M1) 40 CCR 2715(f) D.O.trained employees <br /> 21 CCR 2630(d) Annual monitoring certification 41 Violation(a)not listed above <br /> 22 CCR 2661 (fj Repair for tank/pip€ng has had <br /> tightness test M2 <br /> EHD INSPECTOR: PHONE: it —3rPt,d <br /> RECEIVED BY: S TITLE: <br /> Septic System: 0 Serves Z 20 pmonsfday 0 Receives other than sanitary waste <br /> Other Disposal Units Identified: 0 Dry weftTrench Drains <br /> kRhY,�4�tkdFUuSTM af8.t9.Ob.DOC <br />