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9'171 9690 0935 0118 0993 51 cw <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.saov.org/e" <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> VAN DE POL ENTERPRISES INC (209)466-5921 January 31, 2017 <br /> Facility Address: CERS to: <br /> 816 E FRONTAGE RD, RIPON, CA 95366 10181513 <br /> Inspection Contact: Title: Phone: <br /> Ted Shackelford Operator (209)649-8308 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 2361 -UST FACILITY <br /> Consent For: I Consent Given By: <br /> 0 Inspection ® Photos 0 Samples I Ted Shackelford, Operator <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Dave Winkler 031.0112018 Felix Ramirez 02/26/2018 <br /> Service Technician Manufacturer's Training <br /> VMI, 11/12117; VR, 02/03/18; TT,03/31/17 <br /> CCR=Catifornia Code of Regulafions HSC=Health and Safety Code CFR=Code of Federalegu a ions <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284 No permit to operate ❑V u R ❑COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system n V ❑R u COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V u R in COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ■V ■R ❑COS <br /> 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan r V ■R ❑COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan ❑V u R u COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V u R c COS <br /> 108 CCR 2637(f),2638(a) Failed to notify the EHD 48 hours prior to conducting testing c V n R u COS <br /> 109 CCR 2637 Failed to test secondary containment o V u R o COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V u R u COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually u V o R n COS <br /> 112 NSC 25284.2 Failed to test spill containers annually o V n R ❑COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V ❑R n COS <br /> 114 CCR 2636(/) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V u R o COS <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days o V u R u COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current]CC certification ❑V u R u 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 o R in COS <br /> 118 CCR 2663 Failed to submit tank fining certification within 30 days or to conduct proper tests u V u R u COS <br /> 119 HSC 25299 Documents were falsified or misrepresented o V u R ❑COS <br /> 120 CCR 2635(4) Failed to submit UST Certification of Installation/Modification o V u R u 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 o V n R in COS <br /> On Site Records <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions o V ❑R ❑COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 112 years u V o R o COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site ❑V o R c COS <br /> FA0003911 PR0231470 SCO01 01/31/2017 <br /> EMD 23-01 Rev.09/22116 Page 1 of 6 Underground Storage Tank Program OIR <br />