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a 0 <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.siqov.orq/ehd <br />Underground Storage Tank Program Inspection Report <br />FacilityName: <br />AbbcApieaSo— <br />F�ity Phone: <br />Date: ( j <br />G <br />achyAddress: <br />n��ll <br />r�/`ii-r•1i`Mee_ fid, `� S <br />8 ics. r�' , �N CA <br />nspec ton on <br />awles. Iirrw <br />+onr <br />I <br />one: <br />920 <br />nspec ton ype:rogram: <br />�-� %6usT <br />Consent or: CznIG,Sen y: II <br />Inspection Photos Samples �(� d F� OWW - <br />ervice ec mcian nsi e: Exp. Date: esigna a Aerator: Exp. ate: <br />ervice lechnician Manufacturer's I raining: <br />CCK = California Codeo egu ations = Health and Safety Code CFR= code or a era Regulations <br />V = Violatian R= Repeat violation COS = Connected on site during inspection <br />101 HSC 25284 No permit to operate 1dV )(R o COS <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />o V OR o COS <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted <br />R D COS <br />104 <br />CCR 2711 <br />UST Operating Permit Application for Facility and Tank information not submitted or current <br />)(V R o COS <br />105 <br />CCR 2632 <br />Monitoring and response plans not current or approved by the EHD <br />)LV R o COS <br />106 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />XV )CR o COS <br />107 <br />CCR 2637(f), 2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />n V OR o COS <br />108 <br />CCR 2637 <br />Failed to test secondary containment <br />VV ii R o COS <br />109 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />o V OR it COS <br />110 <br />CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />)(V R D COS <br />111 <br />HSC 25284.2 <br />Failed to test spill Containers annually <br />)(V '(�.R o COS <br />112 <br />CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />o V OR o COS <br />113 <br />CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />DV OR to COS <br />114 <br />CCR 2715(a) <br />Failed to inform the EHD of designated operator identification or change within 30 days <br />�V tR n COS <br />115 <br />CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification <br />D V o R o COS <br />116 <br />CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />o V u R o COS <br />117 <br />CCR 2663 <br />Failed to submit tank lining certification within 30 days or to Conduct proper tests <br />o V D R to COS <br />118 <br />HSC 25299 <br />Documents were falsified or misrepresented <br />o V D R to COS <br />119 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />o V o R o COS <br />--),(VR <br />120 <br />CCR 2712(f) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />n COS <br />,r <br />On Site Records Panne <br />201 <br />CCR 2712(4) <br />Failed to maintain alarm logs and/or records of follow up actions <br />xV J(R o COS <br />202 <br />CCR 2712(b) <br />Failed to maintain cathodic protection test records on site for at least 6 1/2 years <br />o V OR u COS <br />203 <br />CCR 2712(b) <br />Failed to maintain records of monitoring, repair, lining, and upgrades on site <br />)GV )(R o COS <br />204 <br />CCR 2712(i) <br />Current monitoring plan approved by the EHD not found on site <br />Y"V R to COS <br />Page 1 of 3 <br />9171 9690 0935 0118 089185 <br />