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SAN JOAQUIN COUNTY <br /> 0INVIRONMENTAL HEALTH DEPARTMENT <br /> IP <br /> 600 Fast Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.org/ehd <br /> UNDERGROUND STORAGE TANK UST PROGRAM INSPECTION REPORT <br /> Facility name: M4�� Designated Opera" r: Inspection 40 Ale/c Cr/ <br /> Date: <br /> _1 <br /> ba <br /> Facility address: UST# <br /> 7 <br /> 'Prodjuct '•/ 7 <br /> FacilityContact Title Phone: <br /> Moi ing Panel: Piping system: Overfill prevention: <br /> ressurized ❑Suction ❑Gravityechanicai ElAudible/visual <br /> Inspection type: Violations: <br /> outine tillonitorinc, Certification ❑Installation ❑Other. ❑M1-RDetect 2-RPrev ❑M-3 Both <br /> # Code Section VIOLATION(S) HSC=Califomia Health&Safety Code;CCR=Califomia Code of Regulations V R <br /> 1 HSC 25284 Permit to operate V=Violation; RV=Re eat Violation V <br /> 2 CCR 2637 Secondary containment test performed - <br /> 3 v CCR 2711 b & c Current Unified Program Consolidated Forms on file with EHD Facili and tank f <br /> 4 HSC 25292.2 Certification of financial responsibility and CFO letter <br /> 5 CCR 2632 b Monitorin Pro ram(Monitoring&Response Plan is current and approved by the local a enc . <br /> 6 CCR 2712 i Monitoring Ian is onsite. <br /> CY- <br /> 7 a, CCR 2712 b Maintenance&monitoring records M1 <br /> 8 CCR 2643 d Daily monitorin2 of suction piping(pre-January, 1, 1984 <br /> 9 HSC 25292.1 UST system isoperated to prevent unauthorized release <br /> 10 CCR 2632(c)(2) UST monitoring system is present (M1) <br /> 11 CCR 2630 d UST system monitoring equipment is pro22rly located to detect a leak M1 <br /> '412 HSC 25291 b UST system monitoring equipment is o erational (M1 <br /> 13 CCR 2636 1 Continuous monitoring system for underground piping&UDC is present M1 <br /> 14 CCR 2631' Primary containment is product fight <br /> 15 HSC 25291 (a)(2) Secondary containment for UST is ti ht <br /> 16 CCR 2636(c)(1) All releases in secondary pipingflow to-a collection sum <br /> 17 HSC 25291 Line leak detectors are installed M1 <br /> 18 CCR 2635(b)(1) Spill container (M2 <br /> 19 9 CCR 2635(b)(2) Overfill prevention system M2 <br /> 20 CCR 2636(a) Conventional suction piping shall have continuous monitoring&20 containment <br /> 21 HSC 25291 (e) Water in 20 containment analyzed&pr—ol?2r[y disposed of <br /> 22 CCR 2650 Recording/reporting of unauthorized releases M1 <br /> 23 e CCR 2715 Designated Operator: a Statement from UST owner; c-e Monthly ins ection; m to ee trainin <br /> 24 CCR 2638 a Annual monitoring certificatio <br /> 25 CCR 2638 a Annual line leak detector test M1 <br /> 26 HSC 25284.2 Annuals ill containment testing <br /> '27 CCR 2636 4 Annual line tightness test M1 <br /> 28 CCR 2661 Repair for tank/piping has had tightness test M2 <br /> 29 CCR 2643 a Biennial 6 fitness test of qravii2ing(pre-January 1, 1984 <br /> 30 CCR 2643 d Triennial line test for conventional suction piping(pre-January1, 1984) M1 <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 b Permit to temporarily close UST system <br /> 35 HSC 25298 c Permit to close UST system <br /> 36 NSC 25299 Disabling leak detection devices <br /> a 9 2 <br /> 37 HSC 25298 a Ille al abandonment of UST system <br /> 38 Other. <br /> EHD INSPE T PHONE: „? UIC <br /> Septic system: <br /> ❑Serves z20 peoplelday <br /> RECEIVED BY: TITLE: ❑Receives other than sanitary waste <br /> // ✓ Other disposal methods: <br /> ❑D%wells/French Drains <br /> EHD 23-02-002 REV 8/08 <br />