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Underground Storage Tank Program Inspection Report Facility Name: Safeway Fuel Center #1769 Facility Address: 2808 COUNTRY CLUB BLVD, STOCKTON, CA 95204 Facility Phone: (925) 467-3000 Program: 2361 - UST FACILITY Inspection Type: ROUTINE INSPECTION - Operating Permit Date: January 23, 2017 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd CERS ID: 10156809 Inspection Contact: Sandra Harbaugh Consent For: Consent Given By: Sandra Harbaugh, Station Manager Title: Station Manager Phone: () - T Inspection T Photos £ Samples Service Technician Manufacturer's Training: Veeder Root, 05/21/17; VMI, 11/11/18 Service Technician Onsite: Kris Bell Exp. Date: 08/24/2018 Designated Operator: Brian McPheely Exp. Date: 09/14/2018 R = Repeat violation COS = Corrected on site during inspectioV = Violation CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations File Review 101 □ V □ R □ COSNo permit to operateHSC 25284 102 □ V □ R □ COSNo written agreement between tank owner and tank operator to monitor the tank systemHSC 25284(a)(3) 103 □ V □ R □ COSCurrent financial responsibility documents not submittedHSC 25292.2 104 □ V □ R □ COSUST operating permit application for facility and tank information not submitted or currentCCR 2711 105 □ V □ R □ COSFailed to have an approved UST monitoring planCCR 2632(d)(1) 106 □ V □ R □ COSFailed to have an approved UST response planCCR 2632(d)(2) 107 □ V □ R □ COSPlot plan/site map not submitted or failed to completely show where monitoring is performedCCR 2632(d)(1)(C) 108 □ V □ R □ COSFailed to notify the EHD 48 hours prior to conducting testingCCR 2637(f), 2638(e) 109 □ V □ R □ COSFailed to test secondary containmentCCR 2637 110 □ V □ R □ COSFailed to submit secondary containment test report within 30 daysCCR 2637(e) 111 □ V □ R □ COSFailed to test monitoring and leak detection equipment annuallyCCR 2638(a) 112 □ V □ R □ COSFailed to test spill containers annuallyHSC 25284.2 113 □ V □ R □ COSFailed to submit monitoring system certification test report within 30 daysCCR 2638(d) 114 □ V □ R □ COSFailed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut downCCR 2636(f) 115 □ V □ R □ COSFailed to inform the EHD of designated operator identification or change within 30 daysCCR 2715(a) 116 □ V □ R □ COSDesignated operator, service tech or installer did not possess current ICC certificationCCR 2715 117 □ V □ R □ COSFailed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years afterCCR 2663 118 □ V □ R □ COSFailed to submit tank lining certification within 30 days or to conduct proper testsCCR 2663 119 □ V □ R □ COSDocuments were falsified or misrepresentedHSC 25299 120 □ V □ R □ COSFailed to submit UST Certification of Installation/ModificationCCR 2635(d) 121 □ V □ R □ COSFailed to submit a written response within 30 days of receiving an inspection reportCCR 2712(f) 122 □ V □ R □ COSFailure to submit UST system component statement of compatibility for substance storedCCR 2631(j) On Site Records 201 ■ V □ R □ COSFailed to maintain alarm logs and/or records of follow up actionsCCR 2712(b) 202 □ V □ R □ COSFailed to maintain cathodic protection test records on site for at least 6 1/2 yearsCCR 2712(b) 203 □ V □ R □ COSFailed to maintain records of monitoring, repair, lining, and upgrades on siteCCR 2712(b) Page 1 of 4