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San Joaquin County w E 41.E_4_(6 <br /> Environmental Health Department 14 <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> PLAZA LIQUOR#1 209 368-0127 March 28 2016 <br /> Facility Address: CERS ID: <br /> 800 S CHEROKEE LN LODI CA 95240 10181567 <br /> Inspection Contact: Title: Phone: <br /> Govinder Singh Atwal owner 209 368-0127 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 2361 - UST FACILITY <br /> Consent For: I Consent Given By: <br /> O Inspection X Photos 0 Samples I Govinder Singh Atwal owner <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> David Winkler 03/01/2018 Alex Jabban 10/03/2016 <br /> Service Technician Manufacturer's Training <br /> VMI 11/13/17; Veeder Root 02/03/18' SWRCB 03/31/17 <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> ML File Review <br /> 101 HSC 25284 No permit to operate o 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 o R ❑COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted a V o R o COS <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ■V OR ❑COS <br /> 105 HSC 25286(c) Current BOE number not submitted o V o R u COS <br /> 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ■V n R c COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■V a R o COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V ❑R ❑COS <br /> 109 CCR 2637 Failed to test secondary containment o V ❑R ❑COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days a V c R ❑COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V ❑R ❑COS <br /> 112 HSC 25284.2 Failed to test spill containers annually n V n R in COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R o COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R o COS <br /> 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days o V o R o COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V o R o COS <br /> 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well in V in R in COS <br /> 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V o R ❑COS <br /> 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days n V in R in COS <br /> 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V u R ❑COS <br /> 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R u COS <br /> 122 HSC 25299 Documents were falsified or misrepresented n V o R o COS <br /> 123 CCR 2661 Permit to repair UST system not obtained a V o R o COS <br /> 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R u COS <br /> 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report n V in R a COS <br /> 126 HSC 25404(e)(4) Failed to report program data electronically n V o R ❑COS <br /> Page 1 of 5 <br />