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Page Iof4 KtL;LIVI=L <br />MAY 2 6 2015 <br />NVIRONMENTAL <br />r--, --q 4rsm-r <br />San Joaquin County-�d'�"'r amt N -T(- <br />t�►s'T <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, Calrornis 95206-6232 <br />Telephone: (249) 468-3420 Fwf; (209) 46$-3433 Web. www.sjgQ�org/ehd <br />;tlnerground Sttarag� 7airlk Ptigir`aRm <br />Facility Name; <br />Facility Phone: <br />date: <br />CHEVRON STATION #307709" 209 952-2213 <br />Aril 15 2015 <br />Facility Address: <br />CERS lir <br />10858 TRINITY PKWY STOCKTON CA 95219 <br />10186665 <br />Inspection Contact <br />Title: Phone•. <br />Rosella Biggs <br />Manager11(209)952-2213 <br />Inspection 'type: <br />Program: <br />ROUTINE INSPECTION - Operating Permit 2351 - UST FACILITY- 2481 COMPLIANT <br />Goneent For. <br />Consent Given Byr <br />is,Mana er <br />Inspection Photos Samplinq i Rosella Bigi <br />Service Technician Oaeitg <br />Exp. Date: Designated Operator: <br />Exp. Data; <br />Jarrod Cook <br />04!3012015 Ell ah Pends raft <br />06/0212016 <br />Service Technician Manutatturee; Training <br />VMl 07/13/16, VR 05/06/15 <br />CCR=Galff9mia Code or Reyu one HSC=heskhandSaftrMde CFFt-QodeofFedcmlKe9uhd1ons <br />V =Vlolatian R a Repeat wlo)ation COS a <br />Corrected on site during inspection <br />"Ti <br />HSC 25284 <br />No permit to aparate <br />o V <br />❑ R <br />o COS <br />HSC 25284(a)(3) <br />r10 <br />No written agreement between tank owner and tank operator to monitor the tank system <br />o V <br />❑ R <br />o COS <br />HSC 25292.2 <br />Current financial responsibility dowmants not submitted <br />a V <br />o R <br />❑ COS <br />CCR 2711 <br />UST Operating Permit Application for Facility end Tank information not submitted or current <br />a V <br />c R <br />❑ COS <br />105 HSC 25286(c) <br />Current BOE number not submitted <br />a V <br />❑ R <br />a COS <br />106 CCR 2632 <br />Monitoring and response plans not current or approved by the EHD <br />a V <br />a R <br />a COS <br />107 CCR 2632(d)(1)(C) <br />Plot planlsite map not submitted orfalled to completely show where monitoring is performed <br />o V <br />o R <br />a COS <br />los CCR 2637(f), 2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />o V <br />a R <br />c COS <br />109 CCR 2637 <br />Failed to test secondary containment <br />o V <br />a R <br />o COS <br />110 CCR 2637(x) <br />Failed to submit sacandary contaimnent test report within 30 days <br />c V <br />a R <br />o 005 <br />111 CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />o V <br />o R <br />o COS <br />112 HSC 25284.2 <br />Failed to test spill contakters annually <br />a V <br />a R <br />o COS <br />113 CCR =11(d) <br />Failed to submit monitoring system cartification test report within 30 days <br />o V <br />o R <br />❑ COS <br />114 CCR 2838(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fall safe or shut down <br />a V <br />c R <br />❑ COS <br />115 CCR 2716(x) <br />Failed to inform the EHb of a change of designated operator within 30 days <br />o V <br />o R <br />a COS <br />lit) CCR 2716 <br />naalgnated operator, service tech or installer did not possess current ICC certificationEE <br />a V <br />o R <br />aEC�OS <br />117 HSC 25292.5 <br />Failed to conduct ELD besting on a system located within 1000' of a public well <br />o V <br />a R <br />❑118 <br />HSC 25292.6 <br />Failed to repair and retest system due to failed EtD test <br />o V <br />o R <br />a S <br />119 CCR 2g44.1(a)(6) <br />Failed to submit an test results within W days <br />o V <br />a R <br />❑ COS <br />12D CCR 2663 <br />Failed tG inspect it lined or repaired steel tank within 10 years of lining and every 5 years after <br />❑ V <br />in R <br />o COS <br />121 CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper teats <br />o V <br />a R <br />a C05 <br />122 FM.25299 <br />Documents ware falsified or misrepresented <br />❑ V <br />a R <br />o COS <br />123 CCR 2681 <br />Permit to repair UST system not obtained <br />❑ V <br />o R <br />a COS <br />124 CCR 2636(d) <br />Failed to submit UST Certification of Installatmonimadt9cation <br />a V <br />tl R <br />o COS <br />125 CCR 2712(f) <br />Palled to eubmit a written response withln 30 days of receiving an inspection report <br />o V <br />a R <br />o COS <br />Recahred by <br />Inspector: <br />Phone: <br />Data: <br />(Initial): <br />FATINAH ZAREEF, REH5 <br />(209) 953-7311 <br />04115/2015 <br />Page Iof4 KtL;LIVI=L <br />MAY 2 6 2015 <br />NVIRONMENTAL <br />r--, --q 4rsm-r <br />