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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.siaov.om/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: PLAZA LIQUOR#1 209 368-01 1 NI Facility Address: CERS to: 800 S CHEROKEE LN, LODI, C,` 1 10181:- Inspection Contact: Title: Phone: Govinder Singh Atwal 209 368-0127 Inspection Type: Program: ROUTINE INSPECTION- Operating Permit JLITY Consent For: Consent Given By: 0 Inspection O Photos O Samples Govinder Sin h Atwal, Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: David Winkler 03/01/2018 Alex Jabbari UlU3l2u1b Service Technician Manufacturer's Training VMI, 11/13/17, Veeder Root,02/03/18, SWR'" CCRa oma a Regulations =Fm-Tth and Safety Code CFR=Code ofFederal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑V ❑R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o ❑R ❑COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R ❑COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ■V ❑R ❑COS 105 HSC 25286(c) Current BOE number not submitted o V in R o COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD is V ❑R ❑COS 107 CCR 2632(d)(1)(C) I Plot plan/site map not submitted or failed to completely show where monitoring is performed .V o R o COS 108 1 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS 109 CCR 2637 Failed to test secondary containment in V ❑R ❑COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R ❑COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS 112 HSC 25284.2 Failed to test spill containers annually ❑V u R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 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 n V ❑R o COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operatorwithin 30 days ❑V ❑R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V o R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well ❑V ❑R ❑COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test in V ❑R ❑COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days in V ❑R ❑COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS 121 CCR 2663 Failed to submittank lining certification within 30 days orto conduct proper tests ❑V ❑R o COS 122 HSC 25299 Documents were falsified or misrepresented o V o R ❑COS 123 CCR 2661 Permit to repair UST system not obtained ❑V ❑R o COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V ❑R ❑COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS 126 HSC 25404(e)(4) Failed to report program data electronically ❑V ❑R ❑COS Page 1 of 5