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SAN JOAQUIN Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> VALLEY PACIFIC LODI PLANT & CARDLOCK (209) 948-9412 January 19, 2018 <br /> Facility Address: CERS ID: <br /> 930 E VICTOR RD, LODI, CA 95240 10181885 <br /> Inspection Contact: Title: Phone: <br /> Mike Elaison Cardlock Manager (800) 266-3782 322 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 2361 - UST FACILITY <br /> Consent For: I Consent Given By: <br /> O Inspection O Photos O Samples I Mike Elaison, Cardlock Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Richard Thomas 11/17/2018 James Abbot 06/02/2018 <br /> Service Technician Manufacturer's Training <br /> Veeder Root, 11/13/18; VMI, 11/02/18 <br /> alifornia o e of Regulations H = eat and afety o e =Code o FederalRegulations <br /> V-Violation R-Repeat violation COS=Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees c V ❑R L COS <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS <br /> 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted ❑V ❑R ❑COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑V ❑R ❑COS <br /> 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan in V ❑R it COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan ❑V ❑R ❑COS <br /> 2634(e <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V ❑R ❑COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R in COS <br /> 109 CCR 2637 Failed to test secondary containment ❑V ❑R ❑COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V n R ❑COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually in V ❑R ❑COS <br /> 112 HSC 25284.2 Failed to test spill containers annually ❑V ❑R ❑COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R ❑COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V ❑R ❑COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days ❑V ❑R ❑COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R ❑COS <br /> 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after in V ❑R in COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented ❑V ❑R ❑COS <br /> 25299 b 7 <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS <br /> 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored c V r R COS <br /> On Site Records <br /> 201 CCR 2712(b) Failure to maintain monitoring,maintenance, and follow up action records V R �COS <br /> FA0005584 PRO502817 SCO01 01/19/2018 <br /> EHD 23-01 Rev.10/31/2017 Page 1 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> 9171 9690 0935 0152 1705 11 <br />