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0770 y7 <br /> C San Joaquin County Al T-C ` tt j f <br /> MAR 2 7 2017 Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CHEVRON STATION#307709' 209 952-2213 March 24, 2017 <br /> Facility Address: CERS ID: <br /> 10858 TRINITY PKWY STOCKTON CA 95219 10186665 <br /> Inspection Contact: Title: Phone: <br /> Rosella Plummer Manager <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operatinci Permit 2351 -UST FACILITY-2481 COMPLIANT <br /> Consent For: Consent Given By: <br /> Z Inspection 0 Photos 0 Samples Rosella Plummer Mana er <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Stephen Willems 06/03/2018 Derek Balonek 06/07/2018 <br /> Service Technician Manufacturer's Training: <br /> VMI, 12/29/18, Veeder Root. 11/05/18 <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Fife Review <br /> 101 HSG 25284 No permit to operate V ❑R n COS <br /> 102 HSC 25284(a)(3) No written agreement between lank owner and tank operator to monitor the tank system o V u R o COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted u V o R a COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R c COS <br /> 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan o V u R a COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan a V o R o COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed c V o R o COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R e COS <br /> 109 CCR 2637 Failed to test secondary containment V o R o COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R ❑COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V o R c COS <br /> 112 HSC 25284 2 Failed to test spill containers annually o V o R o COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days V u R o COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down V n R o COS <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days V o R o COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification :i V o R o COS <br /> 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after V e R o COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests V c R o COS <br /> 119 HSC 25299 Documents were falsified or misrepresented V o R o COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification a V c R to COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report V o R o COS <br /> 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored V o R u COS <br /> On Site Records <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions V o R o COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years V o R c COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site V o R o COS <br /> Page 1 of 4 <br />