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SAN JOAQUIN COUNTY <br />*VIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj og v.or /g ehd <br />ITNI11FRGROUND STORAGE TANK (USTI PROGRAM INSPECTION REPORT <br />Facility name: <br />rL MAK <br />Designated Operator: <br />Inspect' n Date: <br />Facility address: <br />l 6o S S, �L �o►ZAWo <br />UST # <br />� <br />Product <br />Facility Contact: <br />Title: Phone: <br />Monitoring Panel: .^ <br />( <br />`l <br />Piping system: <br />16ressurized El Suction [I Gravity <br />Overfill prevention: <br />Mechanical ❑Audible/visual <br />Inspection type: <br />Routine XMonitoring Certification ❑ Installation ❑ Other: <br />Violations: <br />❑ MI-RDetect ❑ M2-RPrev <br />❑ M-3 Both <br /># Code Section <br />VIOLATIONS) HSC=California Health & Safety Code; CCR=California Code of Regulations <br />V=Violation; RV=Re eat Violation <br />V R <br />V <br />I HSC 25284 <br />Permit tooperate <br />2 CCR 2637 <br />Secondary containment test performed <br />3 CCR 2711 b & (c) <br />Current Unified Program Consolidated Forms on file with EHD (Facility and tank form) <br />4 HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 CCR 2632 c 2 (D) <br />Monitoring & response plan is current and filed with the local agency <br />6 CCR 2712 (i) <br />Monitoring & response plan is onsite <br />7 CCR 2712 b) <br />Maintenance & monitoring records <br />(MI) <br />8 CCR 2643 (d) <br />Daily monitoring of suctioni in -- (pre -January, I, 1984) <br />9 HSC 25292.1 <br />UST system isoperated to prevent unauthorized release <br />10 CCR 2632 (c)(2) <br />UST monitoring system is present <br />(M)) <br />11 CCR 2630 d) <br />UST system monitoring equipment is properly located to detect a leak <br />(Ml) <br />12 HSC 25291 <br />UST system monitoring equipment isoperational <br />1112 <br />13 CCR 2636 f)(1) <br />Continuous monitorinE system for underground piping & UDC is present <br />(Mi) <br />14 CCR 2631 a) <br />Primary containment is product tight <br />15 HSC 25291 (a)(2) <br />Secondary containment for UST is ti ht <br />16 CCR 2636 (c)(1) <br />All releases in secondary piping flow to -a collection sutra <br />17 HSC 25291 ( <br />Line leak detector(s) are installed <br />Ml <br />18 CCR 2635 (b)(1),- <br />Spill container <br />(M2) <br />19 CCR 2635 (b)(2) <br />Overfill prevention system <br />(M2 <br />20 CCR 2636 (a) <br />Conventional suction piping shallhavecontinuous monitoring & 2° containment <br />21 HSC 25291 (e) <br />Water in 2° containment analyzed & properly disposed of <br />22 CCR 2650 <br />Recording/reporting of unauthorized releasesMl <br />23 CCR 2715 <br />Designated Operator: (a) Statement from UST owner; c e) onthly ins ection; (f) Employee trainin <br />24 CCR 2638 a <br />Annual monitoring certification <br />25 CCR 2638 (a) <br />Annual line leak detector test <br />(Ml) <br />26 HSC 25284.2 <br />Annuals ill containment testing <br />27 CCR 2636 4) <br />Annual line tightness test <br />(M1) <br />CCR 2661 (f) <br />Repair for tank/piping`has had tightness test <br />(M2) <br />29 CCR 2643 e <br />Biennial tightness test of gravitypiping (pre-January1, 1984 <br />r28 <br />30 CCR 2643 d) <br />Triennial line test for conventional`' suction` piping (pre-JanuaryI, 1984 <br />(Mi) <br />31 HSC 25292.5 <br />Double walls stem located within 1000' of public well-ELD <br />32` CCR 2661 <br />Permit to repair UST system <br />33 HSC 25286 (a) <br />Permit to alter monitoring system <br />34 HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 HSC 25298 (c) <br />Permit to close UST system <br />•36 HSC 25299 (a)(9) <br />Disablingleak detection devices <br />37 HSC 25298 (a) <br />Illegal abandonment of UST system <br />38Other: <br />EHD INSPECTOR• <br />PHONE: <br />UIC <br />Septic system: <br />_Serves > 0 e <br />C Rece s t en <br />Other dis o a in <br />❑ Dry wells/Fr <br />le /day <br />sanitary waste <br />s: <br />ch Drains <br />RECEIVED BY: <br />17 <br />TITLE: <br />F,HD 23-02-002 <br />