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SAN JOAQUIN COUNTY <br />OVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2 /08 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/eh <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT 6L -5 6 <br />Facility name: <br />Wl GZA <br />�Cx3 l G�r.�a 3 <br />Designated Operator: <br />/�C l / fGt-� <br />Inspection Date: <br />� l <br />Facility address: ff <br />UST # <br />Product <br />Facility Contact: Title: Phone: <br />Monitoring Pane <br />Pip' system: <br />ressurized ❑ Suction ❑ Gravity <br />OverfiI prevention: <br />echanical ❑ Audible/visual <br />ZItion type: <br />tine 0nitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ Ml-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />1 <br />HSC 25284 <br />Permit tooperate <br />2 <br />CCR 2637 <br />Secondary containment test performed <br />3 <br />CCR 2711 b) & (c) <br />Current Unified Program Consolidated Forms on file with EHD(Facility and tank form) <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />CCR 2632 c 2 D) <br />Monitoring & response plan is current and filed with the local agency <br />CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 <br />CCR 2712 b <br />Maintenance & monitoring records <br />Ml <br />8 <br />CCR 2643 (d) <br />Daily monitoring,of suction piping (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 e)(2) <br />UST monitoring system is present <br />MI <br />11 <br />CCR 2630 d) <br />UST system monitoring equipment is properly located to detect a leak <br />Ml <br />12 <br />HSC 25291 <br />UST system monitoring equipment isoperational <br />M2 <br />13 <br />CCR 2636 (1) <br />Continuous monitoring system for underground piping & UDC is present <br />Ml <br />14 <br />CCR 2631 a <br />"Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for UST is tight <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary pipingflow to a collection sum <br />17 <br />HSC 25291 ( <br />Line leak detector(s) are installed <br />(MI) <br />18 <br />CCR 2635 (b)(1) <br />Spill container <br />(M2) <br />19 <br />CCR 2635 (b)(2) <br />Overfill prevention system <br />M2 <br />20 <br />CCR 2636 (a) <br />Conventional suction piping" shall have continuous monitoring & 2° containment <br />HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 <br />CCR 2650' <br />Recordin re ortin' of unauthorized releases <br />Mi <br />F21 <br />2 <br />CCR 2715 <br />Designated Operator: (a) Statement from UST owner; (c -e) Monthlyinspection; Employee trainin <br />24 <br />CCR 2638 a <br />Annual monitorin certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(MI) <br />26 <br />1 HSC 25284.2 <br />Annuals ill containment testing <br />27 <br />CCR 2636 (f)(4) <br />Annual line tightness test <br />(MI) <br />28 <br />CCR 2661 (f) <br />Repair for tank/pipinghas had tightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity pipingre-Janus 1, 1984 <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping (pre-January1, 1984 <br />(Mi) <br />31 <br />HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32 <br />1 CCR 2661 <br />Permit to repair UST system <br />33 <br />1 HSC 25286 a) <br />Permit to alter monitoring system <br />34 <br />HSC 25298 );" <br />Permit to'temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close UST system <br />36 <br />HSC 25299 (a)(9) <br />Disabling 'leak detection devices <br />37 <br />HSC 25298 a) <br />Illegal abandonment of UST system <br />38 <br />Other: <br />EHD I P CTOR: <br />RE IVED BY- <br />114110!� <br />PHONE: <br />(Ike vA <br />UIC <br />Septic system: <br />❑ Serves >_20 people/day <br />F1 Receives other than sanitary waste <br />Other disposal methods: <br />wells/French Drains <br />TI E: <br />EHD 23-02-002 <br />