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j • San Joaquin %ouniy • j Environmental Health Uepartment j 1868 East Hazeiton Avenue, Stockton, California 95205-6232 j Telephone., (209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd j I I I Inclnrnrnrrnrl Cifnrano Tank Prnnrnm Incnnr*inn Pcnnrt I iFacility Name: i Facility Phone: i Data. i Valero Corner Store#3698 (209) 832-8815 j January 28, 2015 j Facility Address: i EPA Io- CERS to: i 153 E ELEVENTH ST, TRACY, CA 95376 10181331 Facility Contact, Contact Phone: Cnnfar_.t during insper.ttnn,if SANDY HUFF (559) 583-3298 I different from facility contact InspacGon type: Program: ROUTINE INSPECTION -Operating Permit 2361 - UST FACILITY CC' "f^T13 Cone of Rem h. HSC-Hea fth 2nd Cefety Cone CCN Cone of Fen. o IZdons \/_\lplahnn R e Rc 1 inlnllnn QnC=Mrrprl d .cite rt_r urlien I Clic ncY1c YY I i 101 HSC 25284 I No permit to operate I u V u R u COS j 102 HSC 25284(a)o) No written agreement between tank o..nar and tank operator to monitor the tank system ❑V ❑R L-,COS 103 HSC 25292.2 I Current financial responsibility documents not submitted ❑V o R in COS 104 CCR 2711 UST Operating Perm; oppticztion for Facility and Tank information not submitted or current ❑V u R :roe 105 HSC 25286(c) I Current BOE number not submitted ❑V o R u COS 1n6 CCR 2632 Monitoring and response plans not current or approved by the FHn r,V n R n COS 101 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed in V o R ❑COS 108 CCR 2637(0.2638(e) Failed to notify the EHD 48 hours prior to conducting testing n V r R n COS i 09 CCR 2637 Failed to test secondary containment u V ❑R ❑COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days - ❑V ❑R o COS CCR 2033(a) Failed to test inonitoring and leak detector.egwpntaot annually o V u R u COS 112 HSC 25284.2 Failed to test spill containers annually ❑V n R u COS 113 CCR 2533(4) Failed to subm monitoring system;e ification test report within 30 days `.' r, :. COS 114 CCR 2636(f) I Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down I u V ❑R ❑COS +1 s rrR 2715(a) Failed M inform the EHD of a change of designated operator within 30 days 2 V ❑R o COS 116 CCR 2715 I Designated operator,service tech or installer did not possess current ICC certification I u V o R u COS l 117 l HSC 26792 5 Failed to conduct ELD testing on a system located within 1000'of a public well n V n Rn COS 118 HSG 252a[.b I aueo to repair and retest system due to failed ELu test j o V ❑H ❑COS 119 CCR 2644.1(a)(5) I Faded to submit ELD test results within 60 cave I ❑V ❑R ❑COS 1120 CCR 2663 Failed to inspect alined of repaiieu s(eei Lank within 10 years of lining and every 5 years drier u V u R u COS 121 I CCR 2663 Failed to submit tank lining ceii rt" ration within 30 days or to conduct proper tests in o R ❑COS 122 t IS..�.,..a Dcapments were falsified or mbrapras�n;a I . . .,OS 123 I CCR 2661 I Permit to repair UST system not obtained o V u R ❑COS j 12A CCR 2635(4) Ga fed to s..bmit US?Certification of Installa±ion/Modification c V c R o COS I 125 I CCR 2712(f) I Failed to submit a written response within 30 days of receiving an inspection report --I u V u a COS —lj 19R HRC 25AnA(a\(A) Fallen to report nronram rtata elertroninalhr \I r - R rrl.0 I I 1 201 CCR 2712(1hl Failed to maintain alarm loos and/or records of follow up actions V R COSI Received Dy(initrai): I inspector: I rhone: I Oam: I MICHELLE HENRY, Senior REHS (209)468-3454 j 01/28/2015 1 Pepe A n d