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N <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sicehd.com <br />ABOVEGROUND PETROLEUM STORAGE ACT INSPECTION REPORT <br />Facility t A <br />Name: S•ilam, O� 1 �i <br />S I G i <br />Facility <br />Phone: r/ -Clq ^ R9.3 <br />Inspection <br />Date: <br />Facility ��y� <br />Address: l�-�� Ci '" M f) <br />{ A <br />�. �O K 1 On � �cl ®�i <br />CERSy <br />ID: C of <br />Inspection p <br />Contact: VIS 10��fe5 <br />103 <br />Title: C n1 <br />I�1C� v-e-(0o� <br />Phone: <br />7cA^9 --534% <br />InspectionProgram: <br />Type S+0r t I -art it OJ +1 n L <br />�U v rU.�n ✓` Ti{!n % S <br />Consent Given For. <br />105 <br />Consent <br />Failed to report spills or releases of 42 gallons (one barrel) or more (V091) ❑ u u <br />Inspection d Photos /Sampling <br />HSC 25185(c)(3) <br />Given By: LU( S P& qfe S <br />107 <br />CCR = California Code of Regulations <br />HSC = Health and Safety Code CFR = Code of Federal Regulations <br />402 <br />-. <br />V = Violation R = Repeat COS = Corrected on site during inspection <br />Requirement to Prepare and Implement a SPCC Plan V R COS <br />201 CFR 112.3(d) Plan certification by a Professional Engineer (PE) missing or incomplete (V001) u u I <br />202 1 CFR 112.3(e)(1) Failed to maintain a copy of the Plan on site (V002) ❑ - n <br />Aboveground Petroleum Storage Act (APSA) V I R COS <br />101 <br />HSC 25270.4.5(a) <br />Failed to prepare and implement a written SPCC Plan in accordance with CFR Part 112 (V004) ❑ ❑ <br />102 <br />HSC 25270.4.5(a) <br />Failed to properly close a tank that is considered permanently dosed (V061) <br />103 <br />HSC 25270.6(a) <br />Failed to file Business Plan or annual facility tank statement if capacity is over 10,000 gallons (V090) n n <br />104 <br />HSC 25270.6(b) <br />Failed to submit APSA fees (V092) n r, <br />105 <br />HSC 25270.8 <br />Failed to report spills or releases of 42 gallons (one barrel) or more (V091) ❑ u u <br />106 <br />HSC 25185(c)(3) <br />Failed to submit a written response within 30 days of receiving an inspection report (V809) <br />107 <br />HSC 25404(e)(4) <br />Failed to report program data electronically (V812) ❑ ❑ ; <br />Requirement to Prepare and Implement a SPCC Plan V R COS <br />201 CFR 112.3(d) Plan certification by a Professional Engineer (PE) missing or incomplete (V001) u u I <br />202 1 CFR 112.3(e)(1) Failed to maintain a copy of the Plan on site (V002) ❑ - n <br />Received Inspector: Inspector <br />By (initial): V117 6 � ., 11 Fnn Phone - <br />i <br />EHD 28-01 REV 03/04/15 1j Page 1 APSA INSPECTION REPORT <br />Amendment of SPCC Plan by Owners or Operators <br />V R COS <br />301 <br />CFR 112.5(a) <br />Failed to amend Plan as necessary (V005) <br />CFR 112.6(b)(3)(i) <br />302. <br />CFR 112.5(b) <br />Failed to review Plan once every five years and/or implement any resulting amendments (V006) <br />n <br />303 <br />CFR 112.5(c) <br />Failed to have a PE certify technical amendments (V008) <br />506 <br />CFR 112.6(b)(4)(i)(A) <br />PE failed to attest familiarity with 112.6(b) (V049) n , <br />Qualified Facility -Tier I <br />V R COS <br />401 <br />CFR 112.6(a)(1) <br />Tier I Qualified Facility failed to self certify Plan (V010) <br />n .- ❑ <br />402 <br />CFR 112.6(a)(2) <br />Tier I Qualified Facility failed to self certify technical amendment (V011) <br />❑ ❑ ra <br />403 <br />CFR 112.6(a)(3) <br />Tier I Qualified Facility Plan incomplete or not signed by owner/operator (V043) <br />n n n <br />404 <br />CFR 112.6(a)(3)(i) <br />Plan failed to predict direction/rate of flow/total quantity of oil potentially discharged (V044) <br />Plan that does not follow the sequence specified in this section lacks a cross-referencing section (V020) <br />405 <br />CFR 112.6(a)(3)(ii) <br />No 2CT for bulk containers, or mobile storage containers not located to prevent discharge (V045) <br />406 1 <br />CFR 112.6(a)(3)(iii) <br />Overfill prevention for containers not provided, not described in Plan, or tested (V046) <br />Received Inspector: Inspector <br />By (initial): V117 6 � ., 11 Fnn Phone - <br />i <br />EHD 28-01 REV 03/04/15 1j Page 1 APSA INSPECTION REPORT <br />Qualified Facility - Tier 11 V R COS <br />501 <br />502 <br />CFR 112.6(b)(1) <br />CFR 112.6(b)(2) <br />Tier II Qualified Facility failed to self certify Plan (V051) <br />Tier II Qualified Facility failed to amend Plan as necessary (V052) <br />503 <br />CFR 112.6(b)(3)(i) <br />Altemate environmental equivalence methods not certified by PE ('V056) i -j r, <br />504 <br />CFR 112.6(b)(3)(ii) <br />Secondary containment impractibility not certified by a PE (V047) 71 r, <br />505 <br />CFR 112.6(b)(3)(iii) <br />Secondary containment alternatives for skimming produced water containers not certified by PE (V048) ❑ ❑ <br />506 <br />CFR 112.6(b)(4)(i)(A) <br />PE failed to attest familiarity with 112.6(b) (V049) n , <br />507 <br />CFR 112.6(b)(4)(i)(6) <br />PE failed to attest that he or his agent visited the facility (V053) „ <br />508 <br />CFR 112.6(b)(4)(i)(C) <br />PE failed to attest that sections 112.6(b)(3)(i)/(ii) are consistent with good engineering practices (V054) <br />General Requirements for SPCC Plans <br />V <br />R <br />COS <br />601 <br />1 CFR 112.7 <br />Plan that does not follow the sequence specified in this section lacks a cross-referencing section (V020) <br />u <br />Received Inspector: Inspector <br />By (initial): V117 6 � ., 11 Fnn Phone - <br />i <br />EHD 28-01 REV 03/04/15 1j Page 1 APSA INSPECTION REPORT <br />