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61 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Te%phone:(209)468-3420 Fax.(209)468-3433 Web:www sigov�hd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Faciltty <br /> Name: Arch Arco AM PM Facility <br /> Facility Address: 4855 S. Hwy 99, Stockton Inspection <br /> Contact Jivtesh Gill Tine: Date: Nov 19, 2012 <br /> Inspection Owner MM) 948-2438 <br /> Type: XRoutine XMontoring System Certification i7 Installation DComplaint-ID#: <br /> (Authority HSC 25289) ❑Omer <br /> Conseitfor. glnspection J Qampling )?Photos <br /> Monitoring Granted by,Theresa Bondi <br /> iping <br /> Panel: Veeder-Root TLS-350 Prhe: Manager <br /> System: Xpmssurized i7 Suction U Gravity Overfill <br /> UST 1 2Prevention: ❑Mechanical $Audible/visual <br /> Product 91-octane _.89-octane --7_,lane _ __.___________ ___________._ ______________ -------------- - -------------- <br /> Desiged <br /> n Robert Barnhart <br /> ICC F. <br /> Date: 1/28/14 Violations: <br /> On Site Service $M1-Release Detection i7M2-Release Prevention ❑M3-Both <br /> Technician: Guadalupe Sanchez ICC Exp Manufacturer's <br /> Date: '4/23/13 Training: VR x. 11/8/13 VMI X. 5/20/13 <br /> # C1 C2 M Code SectionVIOLATIONS <br /> HSC=Calttomia Health and Safety Code CCR=Caldomia Code of R Mations <br /> C1=Class 1 violation;C2=Class 2 vi orlonM-Minor violation <br /> 101 HSC 25284 File Review <br /> 102 No permit tooperate <br /> HSC 25404.5 Annual operating fees not paid <br /> 103 HSC 25264(a)(3) INO written agreement between the <br /> Person that the operating <br /> monitor the tank s stem permit was issued to and the tank operator to <br /> 104 HSC 25292.2 Currentfinancial responsibilitydocuments not on file with the Environmental Health Department(EHD) <br /> 105 CCR 2632 Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form) <br /> 106 CCR 2632(b) Monitoring Program(Monitoring&Response Plans)is not cume t or approved by the EHD <br /> 107 CCR 2632(tl)(1)(C) Plot plan/site map not submitted or fails to completely show where monitoring is performed <br /> 108 CCR 2637 Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test notification <br /> not rovided to the EHD at least 48 hours dor to conducfin the test <br /> 109 Monitoring equipment certification:(a)not performed annually;(d)test report not submitted within 30 days; <br /> CCR 2638 (e)test notification not provided to the EHD at least 48 hours prior to conducting an installation,repair, <br /> 110 re lacement,calibration,or certification <br /> HSC 25291(f) Annual line leak detector test not performed <br /> l 111 HSC 25284.2 Annual spill containment testing not performed (M7) <br /> 112 CCR 2636(f)(4) Annual line fighmess test not performed if positive shutdown or fail safe not present <br /> 113 CCR 2715(a) Failed to inform the EHD of a change of tlesignated operator within 30 days (M1) <br /> 114 CCR 2715(b) Designated operator does notossess a current ICC CA UST S tem <br /> p Ys Operator certification <br /> 115 CCR 2660(k) Repair for tank or piping not tested far tightness after completion of the repair pursuant to <br /> crit cenditions (11112) <br /> 116 HSC 25292.5 Enhanced leak detection—(E! testing not performed on a system located within 1000' <br /> 117 failures not repaired and retested of public well,or <br /> CCR 2661 Permit to repair UST system not obtained <br /> 118 HSC 25286(a) Operational permit not amended when UST storage and/or monitoring system changed <br /> 119 <br /> 120 HSC 25298(b) Permit to temporarily close UST system not obtained <br /> HSC 25298(c) Pernit to close UST system not obtained <br /> On Site RecoMs <br /> Maintenance&monitoring records not maintainetl 3 years,cathodic protection records for 6 Y22 Years,writtenperformance claims pertaining to release detection systems for 5 years,or records of repairs,linings,and <br /> 201 CCR 2712(b) upgrades for the life of the tank. Monitoring records include:(1)date and time of all monitoring or sampling; <br /> (2)monitoring equipment calibration and maintenance records;(3)results of any visual observations;(4) <br /> results of sample analysis performed a lab or in the field;(5)logs of all readings of gauges or other monitoring <br /> ui ment, iround water elevations,or other test results;(61 results of inventory readings and reconciliations <br /> 202 CCR 271201 Monitoring plan,response plan,and/or o ratio <br /> Pe g permit and all conditions not onsite <br /> 203 Unauthorized release that:(c) se not escape secondary containment and cleaned up within eight hours (M1) <br /> CCR 2650 was not recertletl;(e)escaped eco containment,not cleaned up after eight hours,or a sudden loss of <br /> roduct was not re rted to the EHD w' In 24 hours <br /> InNsdor RecwN d By: <br /> y (209) 468-3440 Title: <br /> tac Rivera <br /> EHD 2302 Rev 04/19/12 <br /> Page 1 UST INSPECTION REPORT <br />