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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.ora/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> spection <br /> FNaacl.."me:, Arch Arco AM PM Facllity 4855 S. Hwy 99, Stockton Da Nov 19, 2013 <br /> Address: <br /> Facility Title: Owner Phone: (209) 948-2438 <br /> Contact Jivtesh Gill <br /> Inspection X Routine X Monitoring system Certification O Installation O Complaint-ID#: O Other <br /> Type: <br /> (Authority HSC 25289) Jivtesh Gill rme: Owner <br /> Consent for. X Inspection ❑Sampling X Photos Granted by: <br /> pedorin Veeder-Root TLS-350 Pi6 9 ,,; XP'asw"zed OS"c6°" OGna"y' mon: °Melt cel XAurlibl�visual <br /> UST 1 2 3 - - ---- -----— ----- <br /> Pnotluct 91-octane 89-octane <br /> 87-octane <br /> Designated ' 1/28/14 violations: XM1-Release Delection ❑M2-Release Prevention OM3-Both <br /> Operator. <br /> onstesevice IccF,�.4/20/15 Maa�`ogSVR x. 11/7/15 VMI x. 5/12/15 <br /> Tea n ien: Guadalupe Sanchez Dale: <br /> VIOLATIONS <br /> HSC-California Health and S Code;CCR=Caltomia Cade of Regulations <br /> # Ci c2 M Code Section C1=Class 1 violation;C2=Class 2 violation;M=Minor violation <br /> File Review <br /> 101 HSC 25284 No permit to operate <br /> 102 HSC 25404.5 Annual operating fees not paid <br /> 103 HSC 25284(a)(3) No written agreement between the person that the operating permit was issued to and the tank operator to <br /> monitor the tank system <br /> 104 HSC 25292.2 Current financial responsibility documents not on file with the Environmental Heath Department(EHD) <br /> 105 CCR 2711 current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form) <br /> 106 CCR 2632(b) Monitoring Program(Monitoring 8 Response Plans)is not current or approved by the EHD <br /> 107 OCR 2632(d)(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 movided to the EHD at least 48 hours prior to conducting the test <br /> Monitoring equipment certification:(a)not performed annually;(d)test report not submitted within 30 days; <br /> 109 CCR 2638 (e)test notification not provided to the EHD at least 48 hours prior to conducting an installation,repair, <br /> replacement,calibration,or certification <br /> 110HSC 25291(f) Annual line leak detector test not performed 0111) <br /> 111 HSC 25284.2 Annual spill containment testing not performed <br /> 112 CCR 2636(f)(4) Annual line tightness test not performed if positive shutdown or fail safe not present poll <br /> 113 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br /> 114 CCR 2715(b) Designated operator does not possess a current ICC CA UST System Operator certification <br /> 115 CCR 2660(k) Repair for tank or piping rml tested for tightness after completion of the repair pursuant to Ilrtzl <br /> Mermit conditions <br /> 116 HSC 25292.5 Enhanced leak detection(ELD)testing not performed on a system located within 1 000'of public well,or <br /> failures not repaired and retested <br /> 117 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 HSC 25298(b) Permit to temporarily dose UST system not obtained <br /> 120HSC 25298(c) Permit to dose UST system not obtained <br /> On Site Records <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6%years,written <br /> performance claims pertaining to release detection systems for 5 years,or records of repairs,linings,and <br /> upgrades for the Irfe of the tank. Monitoring records include:(1)date and fime of all monitoring or sampling; <br /> 201 CCR 2712(b) (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 /> equipment,ground water elevations or other test results; 6 results of invento readings and reconciliations <br /> 202 CCR 2712(1) Monitoring plan,response plan,and/or operating permit and all conditions not onsite <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight hours IMI <br /> 203 CCR 2650 was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of <br /> product was not reported to the EHD within 24 hours <br /> Inca u Recdwd er \ rme. <br /> Stacy Rivera (209) 468-3440 rJ 3 \ <br /> EHD 2342 Rev 04/19/12 Page 1 UST INSPECTION REPORT <br />