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San Joaquin County VMN/ 9171 9690 0935 0084 8375 99 Environmental Health Department - - 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sjgov.oro/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: Safeway Fuel Center#1769 (209)461-5555 January 20, 2015 Facility Address: JJ EPA to: CERS ID: Stockton, CA 95204 -28r0? cU �i�.u'6 alvd• 10156809 Facility Contact: Contact Phone: Contact during inspection, if MANNY NETTO (209) 461-5555 different from facility contact: Inspection type: Program: ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑V in R ❑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 ❑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 ❑V ❑R ❑COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑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 in R ❑COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R to 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 ❑V ❑R ❑COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually in 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 ❑V ❑R o COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑V ❑R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1 000'of a public well in V ❑R ❑COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test to V ❑R in COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V ❑R to 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 to COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS 122 HSC 25299 Documents were falsified or misrepresented ❑V ❑R ❑COS 123 CCR 2661 Permit to repair UST system not obtained ❑V ❑R ❑COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R to COS 126 1 HSC 25404(e)(4) Failed to report program data electronically ❑V ❑R ❑COS On Site Recor r CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑V ❑R inCOS ed by(initial): Inspector: Phone: Date: AA i Ill Cil STACY RIVERA, Senior REHS G (209)468-3440 01/20/2015 Page 7 of 5