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F- <br />rM•e- <br />UIC,W W7 5 �� D Septic <br />Serves X20 people/day <br />TITLE: 0 Receives other than sanitary waste <br />Other disposal methods: <br />0 Dry wells/French Drains <br />EHD 23-02-002 <br />SAN JOAQUIN COUNTY <br />ONVIRONMENTAL HEALTH DEPARTMENTIO <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sjqoy.o[g/ehd <br />UNDERGROUND STORAGE TANK (UST I PROGRAM INSPECTION REPORT <br />Facility name: <br />Designated Operator: <br />Inspection <br />[Facillty <br />Date: <br />address: UST# <br />-'Product -7 4 <br />1 <br />Facility contact: <br />Title: Phone: <br />itorinh pranel: <br />L.$7 <br />Piping system: Overfill prevention: <br />ressurized 0 Suction 0 Gravity I )iWechanical 0 Audible/visual <br />111spection type: I <br />-1 Violations: <br />A�00 <br />tine onitoring Certification 0 Installation 0 Other: I I-RDetect 0 M2-RPrev <br />0 M-3 Both <br /># <br />Code Section <br />VIOLATION(S) HSC=Califomia Health & Safety Code; CCR=Califomia Code of Regulations V R <br />V=Violation; RV=Repeat Violation <br />V <br />1 <br />HSC 25284 <br />Permit too erste <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 />4 <br />HSC 25292.2 <br />Certification of financial responsibility and CFO letter <br />5 <br />CCR 2632 (b) <br />Monitoring Program (Monitoring & Response Plan) is current and approved by the local agency. <br />6 <br />CCR 2712 (i) <br />Monitoring plan is onsite. <br />7 <br />CCR 2712 (b) <br />Maintenance & monitoring records <br />(MI) <br />8 <br />CCR 2643 (d) <br />Daily monitoring of suction poing (pre -January, 1, 1984) <br />9 <br />HSC 25292.1 <br />LIST system isoperated to prevent unauthorized release <br />10 <br />CCR 2632 (c)(2) <br />UST monitoring system is resent <br />(MI) <br />11 <br />CCR 2630 (d) <br />LIST system monitoring equipment is properly located to detect a leak <br />(MI) <br />12 <br />HSC 25291 (b) <br />UST system monitoring equipment is operational <br />(Mi) <br />13 <br />1 CCR 2636 (9(1) <br />Continuous monitoring system for underground pi& UDC is present <br />(MI) <br />14 <br />CCR 2631 (a) <br />,ping <br />Primary containment is product tight <br />15 <br />HSC 25291 (a)(2) <br />Secondary containment for LIST is ti ht <br />16 <br />CCR 2636 (c)(1) <br />All releases in secondary piping flow to a collection sump <br />17 <br />HSC 25291 (f) <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 & 20 containment <br />21 <br />HSC 25291 (e) <br />Water in 20 containment analyzed & properly disposed of <br />22 <br />CCR 2650 <br />Recording/reporting of unauthorized releases <br />23 <br />CCR 2715 <br />Designated Operator:_(a) Statement from UST owner; (c -e) Monwins2ection; (f) Employee training 1 1 <br />24 <br />CCR 2638 (a) <br />Annual monitoring certification <br />25 <br />CCR 2638 (a) <br />Annual line leak detector test <br />(Mi) <br />26 <br />HSC 25284.2 <br />Annual sp 11 containment testing <br />'27 <br />CCR 2636 (f)(4) <br />Annual line fightness test <br />(MI) <br />28 <br />CCR 2661 (f) <br />Repair for tank/piping hashadtightness test <br />(M2) <br />29 <br />CCR 2643 (e) <br />Biennial tightness test of gravity pipi2g_(pre-Janus ry 1, 1984) <br />30 <br />CCR 2643 (d) <br />Triennial line test for conventional suction piping (pre -January 1, 1984) <br />(MI) <br />31 <br />HSC 25292.5 <br />Double wall system located within 1000' of public well-ELD <br />32 <br />CCR 2661 <br />Permit to re air UST system <br />33 <br />HSC 25286 (a) <br />-Permit to alter monitoring system <br />34 <br />HSC 25298 (b) <br />Permit to temporarily close UST system <br />35 <br />HSC 25298 (c) <br />Permit to close LIST system <br />36 <br />HSC 25299 <br />Disabling leak detection devices <br />— <br />(agg)(f)(2) — <br />37 <br />HSC 25298 (a) <br />Illegal abandonment of LIST system <br />38 <br />Other. <br />I <br />F- <br />rM•e- <br />UIC,W W7 5 �� D Septic <br />Serves X20 people/day <br />TITLE: 0 Receives other than sanitary waste <br />Other disposal methods: <br />0 Dry wells/French Drains <br />EHD 23-02-002 <br />