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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigoy.orq/ehd =lI I 1 PC. Facility Name: Facility Phone: Date: s 1i' -- 6 - 2-0 -17 acii teSS:. 1P ill . 116 9.d L Inspection Con J e: one: nspec Ton y e: rogram- LA S" CoP Consent For: Consent Given y: I--ktspection 14-Ptr6fos 49—Sarnpies �j ervice ec nician n te: p.Data: Designated perator: Exp.Date: r f' A ~J tl Service ec nrcian an ac urers rai mg: aG'G /4 9 Ir�C�L _ f � 1 c CC R= a I omla o 0 ol Regulatorfs Frsc=Realm anojaTewuF e = ocle o:rederaj KeOatons V=Violation R=Repeat violation COS=Corrected on site during inspection 21 � x teav 1 - z 101 HSC 25284 No permit to.operate rFf o R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V u R ❑COS 103 HSC 25292,2 Current financial responsibility documents not submitted r V u R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current -R-V u R o COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan -a-V- u R o COS 106 CCR 2632(4)(2) Failed to have an approved UST response plan 6 V o R u COS 107 CCR 2632(d)(1)(C) Plat plardsite map not submitted or failed to completely show where monitoring is performed ,o-V' u R o COS 168 CCR 2637(f),2638(e) Failed to notify the FHD 48 hours prior to conducting testing o V n R u COS log CCR 2537 Failed to test secondary containment o V ❑R u COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V ❑R u COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V n R u COS 112 HSG 25284.2 Failed to test spill containers annually u V o R a COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 36 days o V o R in COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down in V n R o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days u V u R in COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification u V u R c COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V ❑R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ©R u COS 119 HSC 25299 Documents were falsified or misrepresented o V o R 000S 120 CCR 2635(d) Failed to submit UST Certification of installation/Modification o V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 122 CCR 2631 a) Failure to submit UST system component statement of compatibility for substance stored u V u R o COS + y e 0= 5 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑R o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 112 years o V o R o COS 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site n V o R a COS Page i of 3