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SAN JOAQUIN COUNTY �..i ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone:(209)468-3420 Fax.(209)468-3433 Web:www.sigov.org/ehd/unitiii.htmi ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM INSPECTION REPORT Facility _ Inspectio Name: Fac'itys: ( ftgii Date: Facility Title: r Phn Type: Contact: Anfla Inspection Routine 1_I Fallow up C complaint—ID#: Other: (Authority HC 25270.4) Consent for. " Inspection ampling')(Photos Granted by: Title: AST /fPf.{, Total Facility Shell Content UV Q� Capacity(gal): ._._._._. ._._._._. -_ ._ _._._-_-_. -_-_._-_. ._._-_._ ----------------- -- ._._._._._ SPCC lan 11 Capaclity (� �'0 1!N �� ReviewPDate:year YV j 10 SPCC Plan type: C APSA SPCC conditionally exempt(HSC 25270.4.5(b)) Yully or partially Professional Engineer certified Self-certified VIOLATIONS # Cl I C2 M Code Section HSC=California Health and Safety Code;CCR=California Code of Regulations C1 =Class 1 violation',C2=Class 2 violation;M=Minor violation Aboveground Petroleum Storage Act g102 HSC 25270.4.5(a) Failed to prepare a written SPCC Plan in accordance with CFR Part 112 HSC 25270.4.5(a) Failed to conduct periodic inspections of the stora a tank to assure compliance with CFR Part 112 HSC 25270.6(a) Failed to file business plan or annual tank facility statement if capacity>10K gallons and>-5% etroleum HSC 25270.6(b) Failed to submit APSA fees HSC 25270.8 Failed to report spills or releases of 42 gallons or more Requirement to Prepare and Implement a SPCC Plan 201 CFR 112.3(d) SPCC Plan certification by a Professional Engineer(PE) missing or incomplete 202 CFR 1123(e) Failed to retain a copy of the SPCC Plan on site Amendment of SPCC Plan by owners or operators 301CFR 112.5(a) Failed to amend SPCC Plan within 6 months,or implement changes within 6 months of amendment when there is an ap licable change to the facility 302 CFR 112.5(b) Failed to amend SPCC Plan within 6 months,or implement changes within 6 months of amendment after scheduled 5 year Plan review 303 CFR 112.5(b) Failed to complete a review and evaluation of SPCC plan at least once every 5 years 304 JCFR 112.5(c) Failed to have a PE certify technical amendments within 6 months of than e Qualified Facilities Plan Requirements 401 CFR 112.6(a) Tier I qualified facility failed to self-certify(1)SPCC Plan; (2)technical amendment when there was an applicable change to the SPCC Plan 402 CFR 112.6(a)(3) Tier I qualified facility SPCC Plan incomplete 403 CFR 112.6(b) Tier II qualified facility failed to self-certify(1)SPCC Plan; (2)technical amendment when there was an applicable change to the SPCC Plan 404 CFR 112.6(b)(4) Failed to provide written PE certification in a self-certified plan for alternate methods which provide environmental equivalence, or provisions in lieu of secondary containment due to impracticality General Requirements for SPCC Plans 501 CFR 112.7 Failed to include a cross-referencing section for a Plan that does not follow the sequence specified in this section 502 CFR 112.7 SPCC Plan lacks full approval of management at a level of authority to commit the necessary resources to implement the Plan 503 CFR 112.7(a)(2) Failed to provide equivalent environmental protection and/or state the reasons for nonconformance and describe the alternate methods and how they achieve equivalent environmental protection 504 CFR 112.7(a)(3) No facility diagram or diagram failed to show location and contents of each container,transfer stations, and connecting pipes. 505 CFR 112.7 a 3 i SPCC Plan failed to include description of product type and storage capacity for each container 506 CFR 112.7(a)(3)(ii) SPCC Plan failed to include procedures for routine handling of products and discharge prevention measures 507 CFR 112.7(a)(3)(iii) SPCC Plan failed to show discharge or drainage controls(secondary containment), equipment,and procedures for the control of a discharge 508 CFR 112.7(a)(3)(iv) SPCC Plan failed to show countermeasures for discovery, response and cleanup of discharges Iinsp Ai Received By: Title: EHD 28-02 Rev 9/1/11 U Page 1 APSA INSPECTION REPORT