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San Joaquin County rrs Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209)468-3420 Fax: (209) 468-3433 Web:vvvww.sigov.orglehd Underground Storage Tank Program inspection Report Facility Name: Facility one: Date: Center#1769 (925)467-3000 y-Facility Address: CERS ID: 2t; ,uNTRY 'B BLVD, Stockton, CA 95204 Inspection Phone: �, - - I Fuel Station Manager (209) 461-5555 Inspection Type: rrograirric N- Operating Permit 2361 - UST FACILITY Consent For: Consent iVM By: Inspection x Photos Samples Sandra Harbaugh, Fuel Station Manager Service Technician Onsite: Exp.Date: Designated Operator. Exp.Date: 09/11/2016 Service Technician Manufacturer's Training a ornia a eguanons HSC= ea and Safety Code Cl Code of FederalRegulations V=Violation R=Repeat violation C05=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 ❑V ❑R ❑COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R o COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ❑V ❑R o COS 105 HSC 25286(c) Current BOE number not submitted ❑V ❑R ❑COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHO ■V ❑R ❑COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V c R ❑COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS 109 CCR 2637 Failed to test secondary containment o V o R n COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days n V o R o 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 ❑R ❑COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R ❑COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down in V n R ❑COS 115 1 CCR 2715(x) Failed to Inform the EHD of Change of designated operator within 30 days ❑V o R n 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 in COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑V ❑R ❑COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V n R ❑COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after n V n R a COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS 122 HSC 25299 Documents were falsified or misrepresented ❑V ❑R ❑COS 123 CCR 2661 Permit to repair UST system not obtained o V in R o COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R o COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS eceiv yInspector: Date: (initial): ARIS VELOSO. Senior REHS (209)468-3453 01/19/2016 Page 1 of 4