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C - tt, 67-" Pagel of 4 p,, San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-62; Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.Siao�" r /ehd ��b / / C/ Underground Storage Tank Program Inspectior, Report Facility Name: ,_;f iEVRON STATION #407709" Facility Phone: Date: Mercii 31, 2016 Facility Address: CERS ID: -1 c5 TR!,NITY PKWY, STOCK 10136665 Inspection Contact: Title: Phone: f, _ _ H T3rtq:=, 209 952-2213 Inspection Type: Program: L INF IPJ f `E..- i Ir_>;,} U �,• i�tnt�a I'ern�i! �- COMP --� Consent For: Consent Given By: i `..a e j bow— Inspection b�i Photos i.: Samples I Rase!!» fi c as Service Technician Onsite: Exp. Date: Designated Operator: JON -24:2016 Service Technician Manufacturer's Training U 'P (,'u6 !6: VI0 `J!1,2;11,'17 =LoalITOM12Code of Regulations HSC=Health and Safetye CPR= CodeofFederal Regulallons V = Violation R = Repeal vii jion COS- Corrected on sile during inspection File Review 101 HSC 25284 No permit to operate V c R v COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank s tem V R COS 103 HSC 25292.2 Current financial responsibility documents not submitted n V ::: R n COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted c urrent Current BOE number not submitted o V n R ❑COS 105 HSC 25286(c) o V ❑ R n COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD c V c.i R n COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring Is rformed o V o R o COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing c V ❑ R c COS 109 CCR 2637 Failed to test secondary containment '— V R COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days V R COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V n R ❑COS 112 HSC 25284.2 Failed to test spill containers annually n V ❑ R a COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V o R ❑ COS 114 CCR 2636(0 Failed to perform 0.1 gph annual line test for pressurized piping without fail safe o` ,hut down n V o V n R ❑COS o R e COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certlfic� jn o V c R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000' of a public well o V ❑ R e COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑ V o R o COS 119 CCR 2544.1(a)(5) Fatted to submit ELD test results within 60 days Failed to inspect a lined or repaired steel tank within 10 years of lining and every ?earsafter Failed to submit tank lining certification within 30 days or to conduct proper tests '' ❑ V ❑ R ❑COS 120 CCR 2663 n V n R c; COS 121 CCR 2663 c V o R c COS 122 HSC 25299 Documents were falsified or misrepresented n V e R e COS 123 CCR 2661 Permit to repair UST system not obtained o V c R c COS 124 CCR 2635(d) Failed to submit UST Certification of Installabon/Modification Failed to submit a written response within 30 days of receiving an inspection rep ;. 2 V n R c COS 125 CCR 27120 u V n R n COS 126 HSC 25404(e)(4) Failed to report program data electronically o V n R n COS Pagel of 4 p,,